Traumatology and Orthopedics

doi: 10.25005/2074-0581-2017-19-4-528-531
COMPLICATIONS OF HIP JOINT ENDOPROSTHESIS

J.M. Safarov1,2

1Clinical and Diagnostic Center «Madadi Akbar», Dushanbe, Tajikistan
2Department of Traumatology, Orthopaedics and Military Field Surgery, Avicenna Tajik State Medical University, Dushanbe, Tajikistan

Objective: To study the complications of hip joint endoprosthesis for congenital hip dislocation.

Methods: The study included 62 patients, who performed hip joint endoprosthesis (HJE). Timing observations were from 2 to 12 years. Evaluation of the results was carried out on the basis of digital radiography, CT (according to indications), ultrasound sonography and electroneuromyography.

Results: The results of operations performed were evaluated in terms of 3, 6, 12 months and, subsequently, every year. The functional result of the endoprosthesis was assessed deadlines according to the Harris scale. When analyzing the results, the following complications were revealed: profuse bleeding (1.7%), femur fracture (2.6%), fracture of the corpuscular acetabular layer (0.6%), sciatic neuropathy (3.1%) and femoral neuropathy (0.6%), loosening of the femoral component (1.7%), wear of polyethylene prosthesis (1.4%), phlebitis and thrombophlebitis of lower extremities (28.8%), resorption of autografts (27.4%).

Conclusions: Complications with HJE are inevitable. However, their number can be controlled and reduced with sufficient experience. In general, complications with HJE did not significantly affect the results, because the total assessment of endoprosthesis by Harris was 86-92 points.

Keywords: Hip joint, congenital hip dislocation, endoprosthesis, complication.

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Authors informations:

Safarov Jafar Muzafarovich, Candidate of Medical Sciences, Associate Professor of the Department of Traumatology, Orthopedics and Military Field Surgery of Avicenna TSMU

Address for correspondence:

Safarov Jafar Muzafarovich

Candidate of Medical Sciences, Associate Professor of the Department of Traumatology, Orthopedics and Military Field Surgery of Avicenna TSMU

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: (+992) 988 088899

E-mail: safarov.d62@mail.ru

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