Issue: 2017, Vol. 22, No. 4

Garkaviy N. G., Vereschagin N. A., Zhiltsov A. A., Vereschagina E. N.

Endoprosthetics in post trauma alterations of acetabulum

Keywords

hip joint, acetabulum, hip joint endoprosthetics

Abstarct

Objective - to evaluate the results of primary hip joint implantation after operative interventions onacetabulum. Material and methods. The authors analyzed the results of the treatment for 17 patients with postoperative coxarthrosis which was developed after acetabulum osteosuture in the period from 11 months till 4 years. Preoperative preparation included clinical and instrumental examination and pelvic MSCT with 3D reconstruction. Koher - Langenbach posterior approach and the original technique which was developed by the authors were used for hip joint approach. Acetabular component implantation was performed in press-fit anatomic position by cementfree trabeculate implant of Zimmer Trilogy Acetabular System with additional fixation by screws and bone plastics. Harris hip scope was used in one year in order to evaluate the efficacy of the operation. Results. Good and excellent results by Harris hip scope were obtained in the most part of patients after primary hip joint endoprosthetics which was performed on the occasion of post trauma coxarthrosis. The restoration of acetabulum integrity after its damage prevented coxarthrosis development in 53.1% patients; in the disease development it provided the conditions for functional restorative operative treatment in future. The complications were observed in 3 patients (17.6%) only. Conclusions. Primary intervention which was directed to the restoration of acetabulum integrity was necessary because it prevented the complications and provided the conditions for their surgical treatment in future.

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