Observation of the effect of total hip arthroplasty on the treatment of nonparalytic hip dysplasia in patients with residual poliomyelitis
Mei Xiaoliang1, Guo Ting2, Ding Hao2, Bao Nirong2, Wang Beiyue2, Zhou Liwu2, Zhang Lei2, Zhao Jianning2
1Department of Orthopedic, the Affiliated Taizhou People's Hospital of Nantong University, Taizhou 225300, China; 2Department of Orthopaedics, General Hospital of Eastern Theater Command of PLA, Jinling Clinical College of Nanjing Medical University, Nanjing 210002, China
Abstract：Objective To investigate and observe the clinical outcomes of the patients with residual poliomyelitis who underwent total hip arthroplasty (THA)on their nonparalytic limbs.Methods The clinical data of 12 patients with poliomyelitis sequelae who needed total hip replacement due to developmental dysplasia of hip (DDH) admitted to the Department of Orthopedics, General Hospital of Eastern Theater Command from January 2015 to April 2018 were retrospectively analyzed.All the 12 patients were performed on the nonparalytic limbs. There were 5 males and 7 females,mean age was 40.2 (35-52) years old. Hip dysplasia Crowe classification: CroweⅠ type 6 hips, CroweⅡ type 5 hips, Crowe Ⅲ type 1 hip. Total hip arthroplasty was performed with a posterolateral approach. To observe the postoperative hospital stay, bleeding and postoperative complications. Harris hip score and VAS score before and after surgery were compared, and the efficacy was evaluated by Harris hip score.Results All the 12 patients in this group were operated successfully. The operation time was 51-91(64.9±11.0)min.Intraoperative blood loss were 203-347 (282.7±44.4)mL, and postoperative acute blood loss were 353-485 (414.2±51.6)mL.Postoperative hospital stay were 4-9 days.Postoperative complications such as infection, fracture and neurovascular injury was not found. All the 12 patients were followed up for 6-24 months, an average of 18 months. During the follow-up, the patients walked well without dislocation or loosening of the prosthesis. At the last follow-up, compared with preoperative, the Harris hip score were significantly increased(62.8±7.52 and 90.2±2.64, respectively)and the VAS was significantly decreased [0.00(0.00, 0.00)and 4.00(3.00, 6.00)], respectively, with statistically significant differences (t=11.913, Z=10.864, all P values＜0.05). Harris score was used to evaluate the clinical efficacy: excellent 10 hips, good 2 hips.Conclusions By properly designing the placement of hip prosthesis, total hip replacement can achieve favorable results in the treatment of non-paralyzed hip dysplasia in patients with poliomyelitis sequelae.
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Mei Xiaoliang, Guo Ting, Ding Hao, Bao Nirong, Wang Beiyue, Zhou Liwu, Zhang Lei, Zhao Jianning. Observation of the effect of total hip arthroplasty on the treatment of nonparalytic hip dysplasia in patients with residual poliomyelitis. Chinese Journal of Anatomy and Clinics, 2020, 25(2): 141-145.
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2020, Vol. 25 
