Symbol: Artificial hip joint replacement for the treatment of severe hip diseases

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Abstract

BACKGROUND:

Applying artificial hip joint replacement for the treatment of end-stage hip disease is difficult and involves multi-aspects, including the surgical approach, intraoperative osteotomy, prosthesis implantation and selection of type, There are a lot of controversies due to different scholarly opinions.

OBJECTIVE:

To explore the methods and clinical effects of the artificial hip joint replacement in the treatment of end-stage hip disease.

METHODS:

Retrospective analysis of 52 patients (57 hips) receiving artificial hip joint replacement was performed based on a long-term follow-up. The follow-up time was 14-86 months, 27 months in average. The preoperative and postoperative (last follow-up) visual analogue scale score and Harris hip score were recorded, analyzed and compared, and the results were statistically analyzed.

RESULTS AND CONCLUSION:

The visual analogue scale score in 52 patients was decreased from preoperative (7.0±1.2) points to postoperative (2.0±0.7) points. Harris score was increased from preoperative (35.9±5.4) points to the last follow-up (89.7±3.1) points. The difference was statistically significant when compared with that before operation (P < 0.05). All the 52 patients after surgery could walk with crutches or walker ambulation, and all of them could be able to walk independently and take self-care after 3 months. X-ray assessment showed no loosening of the prosthesis, and achieved satisfactory results. Careful preoperative preparation and scientific and rigorous operation can prevent the hip prosthesis loosening, infection and pain after operation. Rehabilitation exercise after surgery is an important measure to reduce the postoperative pain and recover the function to the maximum extent.

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