Hip
Hip
KneeHipShoulder
Joint Reconstruction Group, Chennai

1200 Hip resurfacing Procedures

  • 373 AVN (Largest series in the world)
  • 237 Ank.Spondylitis, ( 22 fused hips)
  • 37 Post- perthes/SUFE
  • 48 inflammatory arthropathy
  • 25 hip dysplasia
  • 6 idiopathic chonodrolysis
  • 3 post TB
  • 448 primary OA
  • 23 post acetabular fracture
  • Longest followup was 85 months post op

Outcome in consecutive 1200 hips

  • Fracture of the femoral neck -1 .Acetabular side was intact. Femoral side was revised to anatomical head metal on metal hip resurfacing.
  • Varus collapse (delayed primary failure) 4 (inflammatory arthropathy) Acetabular side was intact. Femoral side was revised to anatomical head metal on metal hip resurfacing.
  • Dislocations - 1 (recovery room) Open reduction was done in the immediate post operative day.
  • Acetabular cup loosening 2 (Acetabular side was revised at 6 weeks and 4 years respectively) AVN Of these one had to be revised on the femoral side as well due to the size requirement.

Lost to follow up 2 patients

AVN GroupNon AVN Group
Intra op fracture of the acetabulum - nilIntra op fracture of the acetabulum1(minor)
Violation of femoral neck by stem - nil Violation of femoral neck by stem - 1
Notching of neck - 1Notching of neck - nil
Femoral nerve palsy (transient) - 2 Femoral nerve palsy (transient) - 2
InfectionsInfections
Superficial - 1 Deep -0 Superficial - 0 Deep - 1
Heterotrphic ossification - 1Heterotrphic ossification - nil
Shortening - 1Lengthening - 2