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Orthopedics and Osteoporosis 2018
N o v e m b e r 2 9 - 3 0 , 2 0 1 8
Am s t e r d a m , N e t h e r l a n d s
Page 21
Journal of Clinical & Experimental Orthopaedics
ISSN: 2471-8416
E u r o p e a n C o n f e r e n c e o n
Orthopedics and
Osteoporosis
The authors report their own concept of the use of total hip replacement for
the treatment of postdysplastic arthritis of the hip joint. The type and degree
of deformity, the size and thickness of the acetabular bone mass, all those
factors determine the proper course of implantation. In indicated cases,
osteotomy of the acetabulum can be used, where the implantation of the
component does not weaken the bottom of the acetabulum and will provide
sufficient bone tissue for future reimplantation. A quite exceptional situation
is the implantation of articular replacement in cases of high luxation, which will
require a strictly individual solution for each patient.
Objective: Radiological and clinical evaluation of patients who underwent
acetabular osteotomy during total hip arthroplasty (THA) for postdysplastic
hip artrhritis.
Methods: Acetabulum osteotomy was used to allow correct cup position
and firm holding of acetabular component of THA in patients with severe
postdysplastic acetabular bone defects. We conducted a prospective study
evaluating patients who underwent acetabular osteotomy during THA. We
collected data on demography, previous surgeries, range of motion and
Harris hip score. We arranged CT scans in all patients preoperatively and also
postoperatively.
Results: We performed 22 THA surgeries with additional acetabular osteotomy.
We evaluated 8 patients in average age of 54. Six patients already underwent
orthopedic surgery for hip dysplasia. We used spherical press-fit cups in all
cases. Average postoperative Harris hip score is 79.5. We had to re-operate
only one hip at once after surgery because of cup malposition.
Conclusion: Acetabular osteotomy during THA is quite rare indicated part of
THA surgery and must be precisely planned preoperatively using CT scans.
This surgery may assure firm holding of acetabular component especially
among patients with severe postdysplastic acetabular bone defects. After 10
years, we haven’t any case of loosening of the acetabular implant.
Biography
Jiri Stehlik finished his studies at the Charles University Medical
School in 1977. At the Orthopaedic Clinic of the Charles
University in Prague he worked for 22 years, in recent years
as deputy head of the clinic. In 1994 he reached the scientific
rank of CSc. (PhD.) and in 1996 the title of ass. Professor.
From 2002 until last year he was the Head of the Orthopaedic
Department of the Hospital in České Budějovice, the centre of
South Bohemia. In total, he lectured 154 lectures, 16 of which
were abroad, published 47 articles in professional journals and
was the author or co-author of 5 monographs. In 2003 he was
awarded Zahradnicek Award, for the best publication in Acta
Chir. Orthop. Traum. Bohemian Society for Orthopaedics and
Traumatology.
Circular Acetabular Osteotomy and Cup Implantation in
Postdysplastic Hip Artritis
Jiri Stehlik
Ceske Budejovice Hospital, Czech Republic
Jiri Stehlik, J Clin Exp Orthop 2018, Volume: 4
DOI: 10.4172/2471-8416-C1-005