カップ関節形成術後に人工股関節置換術を施行した4例
Digital data available（科学技術振興機構）
Begin reading now
J-STAGE
Holdings of Libraries in Japan
This page shows libraries in Japan other than the National Diet Library that hold the material.
Please contact your local library for information on how to use materials or whether it is possible to request materials from the holding libraries.
other
J-STAGE
DigitalCiNii Research
Search ServiceDigitalYou can check the holdings of institutions and databases with which CiNii Research is linked at the site of CiNii Research.
Bibliographic Record
You can check the details of this material, its authority (keywords that refer to materials on the same subject, author's name, etc.), etc.
- Material Type
- 記事
- Author/Editor
- 丹藤 世身藤田 貴也船山 敦 他
- Alternative Title
- Revision Total Hip Replacement after Cup Arthroplasty : A Report of Four Cases
- Periodical title
- 日本関節病学会誌 = Japanese journal of joint diseases
- No. or year of volume/issue
- 30(4):2011
- Volume
- 30
- Issue
- 4
- Pages
- 503-508
- Publication date of volume/issue (W3CDTF)
- 2011
- ISSN (Periodical Title)
- 1883-2873
- ISSN-L (Periodical Title)
- 1883-2873
- Publication (Periodical Title)
- 東京 : 日本関節病学会
- Place of Publication (Country Code)
- JP
- Text Language Code
- jpn
- Subject Heading
- NDLC
- Target Audience
- 一般
- Holding library
- 国立国会図書館
- Call No.
- Z19-1352
- Data Provider (Database)
- 国立国会図書館 : 国立国会図書館雑誌記事索引
- Bibliographic ID (NDL)
- 023479983
- Bibliographic Record Category (NDL)
- 632
- Summary, etc.
- Cup arthroplasty used to be performed for osteoarthritis of the hip in younger patients in order to preserve bone stock in our hospital. We report four cases of total hip arthroplasty (THA) after cup arthroplasties.<br><b>Case 1.</b> The patient was a 51-year-old woman. She was diagnosed with osteoarthritis of the hip secondary to developmental dislocation of the hip (DDH) and underwent a left cup arthroplasty at the age of 23 years. Twenty-eight years later she underwent left THA. During the operation, it was very difficult to pull down the femur, and the procedure resulted in a distal femur fracture. <br><b>Case 2.</b> The patient was a 62-year-old woman. She was diagnosed with osteoarthritis of the hip secondary to DDH and underwent a right cup arthroplasty at the age of 38 years. Twenty-four years later she underwent right THA. The formation of osteophyte in the acetabulum prevented dislocation of the femoral head. In situ osteotomy of the femoral neck was necessary.<br><b>Case 3.</b> The patient was a 78-year-old woman. She was diagnosed with rheumatoid arthritis and underwent a left cup arthroplasty at the age of 49 years. Twenty-nine years later, she underwent left THA due to pain progression and leg length discrepancy. The weakness of the bone resulted in a fracture in the superior margin of the obturator foramen, resulting in the migration of acetabular reinforcement. She underwent a repeat operation.<br><b>Case 4.</b> The patient was a 43-year-old man. He was diagnosed with post-traumatic osteoarthritis of the hip and underwent a right cup arthroplasty at the age of 31 years. Twelve years later, he underwent right THA. <br> In these four cases, THAs were performed on average 23 years after cup arthroplasties, and the Hip score, as defined by the Japanese Orthopaedic Society, improved from 41.8 points preoperatively to 71.3 points at the final follow-up. The features of patients who have undergone cup arthroplasty include a poor range of motion and leg length discrepancy due to migration of the cup. The problem is that surgeons have difficulty in pulling down the femur to deal with acetabular cavitary bone defects during the operation. It was very useful to use modular-neck stems and transplant the bone with acetabular reinforcements. In conclusion, we recommend that cup arthroplasties be converted to THAs before the cups migrate severely into the acetabulum.
- DOI
- 10.11551/jsjd.30.503
- Access Restrictions
- インターネット公開
- Data Provider (Database)
- 科学技術振興機構 : J-STAGE
- Summary, etc.
- Cup arthroplasty used to be performed for osteoarthritis of the hip in younger patients in order to preserve bone stock in our hospital. We report four cases of total hip arthroplasty (THA) after cup arthroplasties.<br><b>Case 1.</b> The patient was a 51-year-old woman. She was diagnosed with osteoarthritis of the hip secondary to developmental dislocation of the hip (DDH) and underwent a left cup arthroplasty at the age of 23 years. Twenty-eight years later she underwent left THA. During the operation, it was very difficult to pull down the femur, and the procedure resulted in a distal femur fracture. <br><b>Case 2.</b> The patient was a 62-year-old woman. She was diagnosed with osteoarthritis of the hip secondary to DDH and underwent a right cup arthroplasty at the age of 38 years. Twenty-four years later she underwent right THA. The formation of osteophyte in the acetabulum prevented dislocation of the femoral head. In situ osteotomy of the femoral neck was necessary.<br><b>Case 3.</b> The patient was a 78-year-old woman. She was diagnosed with rheumatoid arthritis and underwent a left cup arthroplasty at the age of 49 years. Twenty-nine years later, she underwent left THA due to pain progression and leg length discrepancy. The weakness of the bone resulted in a fracture in the superior margin of the obturator foramen, resulting in the migration of acetabular reinforcement. She underwent a repeat operation.<br><b>Case 4.</b> The patient was a 43-year-old man. He was diagnosed with post-traumatic osteoarthritis of the hip and underwent a right cup arthroplasty at the age of 31 years. Twelve years later, he underwent right THA. <br> In these four cases, THAs were performed on average 23 years after cup arthroplasties, and the Hip score, as defined by the Japanese Orthopaedic Society, improved from 41.8 points preoperatively to 71.3 points at the final follow-up. The features of patients who have undergone cup arthroplasty include a poor range of motion and leg length discrepancy due to migration of the cup. The problem is that surgeons have difficulty in pulling down the femur to deal with acetabular cavitary bone defects during the operation. It was very useful to use modular-neck stems and transplant the bone with acetabular reinforcements. In conclusion, we recommend that cup arthroplasties be converted to THAs before the cups migrate severely into the acetabulum.
- DOI
- 10.11551/jsjd.30.503
- Related Material (URI)
- Data Provider (Database)
- 国立情報学研究所 : CiNii Research
- Original Data Provider (Database)
- Japan Link Center雑誌記事索引データベースCiNii Articles
- Bibliographic ID (NDL)
- 023479983
- NAID
- 130004955685