ArticleOrthopaedic surgery2019
Outcomes after Total Hip Arthroplasty Using a Cementless S-ROM Modular Stem for Patients with High Hip Dislocation Secondary to Hip Pyogenic Arthritis.
Article in Orthopaedic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Total Hip or Knee Arthroplasty in Patients with a History of Native Joint Septic Arthritis: A Meta-analysis and Systematic Review of Risk Factors of Prosthetic Joint Infection.Clinics in orthopedic surgery · 2025Pooled it
- Clinical outcomes of proximal femoral reconstruction technique combined with THA in the treatment of high dislocation secondary to septic arthritis: a retrospective single-center study.BMC musculoskeletal disorders · 2023Article
- Battle of the titans: Survivorship analysis of the 3 most common types of uncemented femoral stems used across national registries.Journal of orthopaedics · 2023Review
- Clinical outcome in total hip arthroplasty for septic sequelae in childhood : a retrospective study.Bone & joint open · 2022Article
- [Long-term effectiveness of total hip arthroplasty for Crowe typeZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- Risk Factors for Intraoperative Periprosthetic Femoral Fractures in Patients with Hip Dysplasia Undergoing Total Hip Arthroplasty with Uncemented Prostheses.Orthopaedic surgery · 2021Article
- Mid-Term Outcomes of Cementless Total Hip Arthroplasty in Adult Patients with Childhood Hip Infection.Medical science monitor : international medical journal of experimental and clinical research · 2021Article
- A propensity score-matched analysis between patients with high hip dislocation after childhood pyogenic infection and Crowe IV developmental dysplasia of the hip in total hip arthroplasty with subtrochanteric shortening osteotomy.Journal of orthopaedic surgery and research · 2020Article
- Direct Anterior Approach: The Outlook of Total Hip Arthroplasty in Crowe Type III-IV Hip Dysplasia.Orthopaedic surgery · 2020Article
- Subtrochanteric femoral shortening for hip centre restoration in complex total hip arthroplasty with functional outcome.Bone & joint open · 2020Article
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Authors and funding
13 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo evaluate the midterm results of the cementless S-ROM modular femoral stem used with subtrochanteric transverse shortening osteotomy for the treatment of high hip dislocation secondary to hip pyogenic arthritis.
methodsWe retrospectively reviewed the data of 49 patients (49 hips) with an average infection quiescent period of 37.4 years who underwent cementless total hip arthroplasty (THA) with simultaneous subtrochanteric transverse shortening osteotomy from July 2008 to June 2012. There were 23 men and 26 women with a mean age of 44.3 years at the time of surgery. The following clinical outcomes were evaluated: the Western Ontario and McMaster Universities Arthritis Index (WOMAC) score, Harris hip score (HSS), modified Merle d'Aubigne-Postel hip (MAP) score, low back pain visual analog scale score, 12-item short-form health survey questionnaire score, limp, and Trendelenburg sign. Radiographic outcomes and complications were also evaluated.
resultsThe mean follow-up period was 8.7 years (range, 5.5-10 years). No infection recurrence was observed after THA. The average HSS significantly improved from 45.0 to 84.8. The WOMAC score improved from 70.1 ± 3.5 (range, 65-76) to 43.1 ± 13.4 (range, 21-67). The modified MAP score improved from 5.9 ± 1.9 (range, 3-9) to 14.3 ± 2.4 (range, 11-18). The low back pain visual analog scale score, 12-item short-form health survey questionnaire score, limp, and Trendelenburg sign also improved significantly. The average limb length discrepancy decreased from 39.6 mm (range, 30-55 mm) to 7.2 mm (range, 0-22 mm). Two patients had temporary sciatic nerve paralysis but recovered within 6 months without any functional defects; one had an intraoperative fracture fixed by cerclage wires. One hip required revision surgery because of femoral stem aseptic loosening.
conclusionsThe cementless S-ROM modular femoral stem used with subtrochanteric transverse shortening osteotomy is safe and effective for high hip dislocation secondary to pyogenic arthritis and provides satisfactory midterm results. Significant improvements in clinical function were observed, as were high rates of stable fixation of the cementless implant, restoration of more normal limb lengths, and a low incidence of complications.
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