34-198
Calcificaciones heterotópicas en cirugía protésica de cadera. Prótesis bicéntricas vs híbridas.
Heterotopic ossifications after total hip arthroplasty. Hybrid versus Bipolar arthroplasties.
L.A. MONTERO FURELOS*, M. GALDO PÉREZ **, J. YUBERO PASCUAL **, A. SÁNCHEZ MOZO **. *SERVICIO DE TRAUMATOLOGÍA Y CIRUGÍA ORTOPÉDICA. HOSPITAL DA COSTA. BURELA. **SERVICIO DE TRAUMATOLOGÍA Y CIRUGÍA ORTOPÉDICA.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
The clinical and radiological follow up of 202 patients
with a cemented Hip Arthroplasty (HA) was reviewed. The presence
of periarticular heterotopic ossifications (PHO) and its gradation
was compared in hybrid and bipolar arthroplasties. Risk
factors related to the appearance of PHO, implants size, final
alignment, operated side and relationship to the postoperative
local and systemic complications were several of the parameters
analyzed. The presence of PHO was 35,5% (degree I,19%; degree
II, 10%; degree III, 5% and degree IV, 1,5%); 9,9% symptomatic. A
greater proportion of PHO was observed in males (p = 0,005)
greater size stems (p = 0,001) and patients with postoperative
local complications (p = 0,001). There were no statistical differences
between patients with hybrid hip arthroplasties as compared
to those with bipolar his arthroplasties. The Harris score
showed differences as regards pain at 24 months follow- up between
the groups with an without PHO.
with a cemented Hip Arthroplasty (HA) was reviewed. The presence
of periarticular heterotopic ossifications (PHO) and its gradation
was compared in hybrid and bipolar arthroplasties. Risk
factors related to the appearance of PHO, implants size, final
alignment, operated side and relationship to the postoperative
local and systemic complications were several of the parameters
analyzed. The presence of PHO was 35,5% (degree I,19%; degree
II, 10%; degree III, 5% and degree IV, 1,5%); 9,9% symptomatic. A
greater proportion of PHO was observed in males (p = 0,005)
greater size stems (p = 0,001) and patients with postoperative
local complications (p = 0,001). There were no statistical differences
between patients with hybrid hip arthroplasties as compared
to those with bipolar his arthroplasties. The Harris score
showed differences as regards pain at 24 months follow- up between
the groups with an without PHO.
Palabras clave (ES):
Híbridas
Osificaciones
Prótesis
Cadera
Artroplastia
total
Calcificaciones
Heterotópicas
Complicaciones
Bicéntricas
Resumen (EN)
The clinical and radiological follow up of 202 patients
with a cemented Hip Arthroplasty (HA) was reviewed. The presence
of periarticular heterotopic ossifications (PHO) and its gradation
was compared in hybrid and bipolar arthroplasties. Risk
factors related to the appearance of PHO, implants size, final
alignment, operated side and relationship to the postoperative
local and systemic complications were several of the parameters
analyzed. The presence of PHO was 35,5% (degree I,19%; degree
II, 10%; degree III, 5% and degree IV, 1,5%); 9,9% symptomatic. A
greater proportion of PHO was observed in males (p = 0,005)
greater size stems (p = 0,001) and patients with postoperative
local complications (p = 0,001). There were no statistical differences
between patients with hybrid hip arthroplasties as compared
to those with bipolar his arthroplasties. The Harris score
showed differences as regards pain at 24 months follow- up between
the groups with an without PHO.
with a cemented Hip Arthroplasty (HA) was reviewed. The presence
of periarticular heterotopic ossifications (PHO) and its gradation
was compared in hybrid and bipolar arthroplasties. Risk
factors related to the appearance of PHO, implants size, final
alignment, operated side and relationship to the postoperative
local and systemic complications were several of the parameters
analyzed. The presence of PHO was 35,5% (degree I,19%; degree
II, 10%; degree III, 5% and degree IV, 1,5%); 9,9% symptomatic. A
greater proportion of PHO was observed in males (p = 0,005)
greater size stems (p = 0,001) and patients with postoperative
local complications (p = 0,001). There were no statistical differences
between patients with hybrid hip arthroplasties as compared
to those with bipolar his arthroplasties. The Harris score
showed differences as regards pain at 24 months follow- up between
the groups with an without PHO.
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