Cementless total hip arthroplasty for dysplastic and dislocated hips [Displastik ve çi{dotless}ki{dotless}k kalçalarda çimentosuz total kalça artroplastisi]

Objectives: we evaluated the clinical and radiographic results of exclusively the same type and standard sized cementless total hip prostheses applied to all dysplastic and dislocated hips. patients and methods: in this study,we retrospectively reviewed 69 patients' (63 females,6 males; mean age 45.6 years; range 20 to 72 years) 103 dysplastic or dislocated hips on which cementless total hip arthroplasty was performed between january 1998 and january 2006. the mean duration of follow-up was 7.2 years (range 2.0-10.1 years). eighteen hips (17%) were type i,29 hips (28%) were type ii,23 hips (22%) were type iii and 33 hips (32%) were type iv according to the crowe classification. functional and clinical analyses were performed by harris hip scores. at the last follow-up,the patients were asked whether they were satisfied or not after the operation. results: the average preoperative harris hip score of 39.3 was progressed to 89.5 at the latest follow-ups (p<0.001). sixty patients (86.9%) reported that they were satisfied after surgery. we observed 41 (39.8%) complications in total,nine of which were intraoperative. there were no findings of symptomatic septic or aseptic loosening at the latest follow-ups. conclusion: cementless total hip arthroplasty is an effective procedure for dysplastic and dislocated hips.