geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Total prosthesis arthroplasty in femur head necrosis


, : Total prosthesis arthroplasty in femur head necrosis. Der Orthopade 19(4): 236-241

In young patients with advanced necrosis of the femoral head, the short- and medium-term results of total prosthesis arthroplasty are the most satisfactory. However, the prospect of aseptic loosening hangs over such arthroplasties like Damocles' sword. Reports from the literature suggest that, in addition to the age of the patient, there is also an endogenous factor that can be responsible not only for the etiology and pathogenesis of the necrosis, but also for the early loosening of the prosthesis. We have followed up 54 patients (73 hip joints) who had total hip replacement as a result of necrosis of the femoral head between 1976 and 1988. Altogether, 3 acetabular and 5 femoral shafts had to be replaced (7 patients). This corresponds to a loosening rate of 10% after an average of 4.9 years. Hence, the prosthesis changing rate is lower than that reported by other authors, but is still higher than in patients with coxarthrosis. Only 2 of 52 cemented shaft prostheses had to be replaced; the average age of these patients was 61.4 years. Of the 21 cement-free shaft implantations, 3 had to be replaced, the average age of these patients being 42.9 years. The fact that the average age of the latter patients was lower may be the reason for the revision rate not being significantly higher for the non-cemented shafts. In view of the fact that necrosis of the femoral head can rapidly result in the patient becoming an invalid if it is allowed to follow its natural course, hip joint prostheses should also be offered to younger patients.

US$29.90

PMID: 2216453


Other references

Cella, G.; Russo, R., 1977: Heparin neutralizing activity and anti thrombin iii in coronary artery disease. Plasma from 14 patients with severe and diffuse coronary atherosclerosis was compared with that obtained from a normal control group. While a decreased heparin-thrombin clotting time was demonstrated in the patient group, suggesting an increased l...

Scholz, H.F., 1964: Seeding and planting tests of Northern Red Oak in Wisconsin. A report after 10 years on tests of regeneration with direct sowings and 1 + 0 and 2 + 0 seedlings of Quercus borealis. Problems encountered were: removal of acorns by rodents (screening increased stocking from 81 to 95%), overtopping by shrubs an...

Millot, N.; Soignier, S.; Santini, C.C.; Baudouin, A.; Basset, J-Marie., 2006: Synthesis, characterization, and activity in ethylene polymerization of silica supported cationic cyclopentadienyl zirconium complexes. Cp*ZrMe3 reacts with silica pretreated at 800 degrees C, SiO(2-(800)) through two pathways: (a) protolysis of a Zr-Me group by surface silanols and (b) transfer of a methyl group to the surface by opening of strained siloxane bridges, in a relativ...

Buncel, E.; Norris, A.R.; Taylor, S.E.; Racz, W.J., 1982: Metal ion bio molecule interactions 4. methyl mercury ii complexes of 1 methyl imidazoline 2 thione methimazole a potentially useful protective agent in organo mercurial intoxication. Two 1:1 methylmercury(II)-1-methylimidazoline-2-thione (methimazole, MeImSH) complexes, [MeHg(MeImSH)]NO3 and [MeHg(MeImS)], were isolated from aqueous solution under acidic and basic conditions, respectively. 1H NMR and IR spectroscopy, as well a...

Leal da Cruz, M.; Liguori, R.; Garrone, G.; Leslie, B.; Ottoni, Sérgio.Leite.; Carvalheiro, Sérgio.; Moron, A.Fernandes.; Ortiz, V.; Macedo, A., 2015: Categorization of bladder dynamics and treatment after fetal myelomeningocele repair: first 50 cases prospectively assessed. We categorized bladder patterns and principles of treatment applied to patients who underwent myelomeningocele repair during gestation in a prospective urological assessment. We performed urinary tract ultrasound, voiding cystourethrogram and uro...

Ryckmans, D.; Canneyt, T. van, 2003: Results of haulm cutters and flame throwers are good. Four machines for haulm cutting and 2 flame throwers were compared in Belgium in 2002 in a field with potato cv. Bintje. The haulm cutters were Baselier 4LKB 370, Netagco KSAV 4x90, Amac LK-4 and Grimme KS 3600. The flame throwers were Hoaf LB 3.0...

Bulla L.A., 1974: A new stratified plankton sampler for shallow waters. Physis Seccion B Las Aguas Continentales Y Sus Organismos: 241-246

Fujisawa, T.; Ikegami, H.; Inoue, K.; Kawabata, Y.; Ogihara, T., 2005: Effect of two alpha-glucosidase inhibitors, voglibose and acarbose, on postprandial hyperglycemia correlates with subjective abdominal symptoms. To assess the possible difference in effectiveness of 2 alpha-glucosidase inhibitors, voglibose and acarbose, the relationship between postprandial hyperglycemia and subjective abdominal symptoms was investigated. A total of 21 inpatients with typ...

Oslin, D.W.; Distefano, J.A.; Decker, K.; Luck, G.J.; Pettinati, H.M.; O'brien, C.P.; Volpicelli, J.R., 1998: Six month treatment completion using compliance enhancement for alcoholism. Alcoholism Clinical & Experimental Research 22(3 ABSTR SUPPL ): 82A, May

Liang, J.; Wei, R.; He, S.; Liu, Y.; Guo, L.; Li, L., 2013: A highly sensitive and selective aptasensor based on graphene oxide fluorescence resonance energy transfer for the rapid determination of oncoprotein PDGF-BB. Oncoprotein platelet derived growth factor-BB (PDGF-BB) is one of the most critical growth factors that regulates tumor growth and division. In this work, a highly sensitive and selective fluorescence resonance energy transfer (FRET) aptasensor fo...