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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2005, Number 6

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Acta Ortop Mex 2005; 19 (6)

Articular reconstruction with total arthroplasty in pseudoarthrosis of the hip in young patients. Two cases report

García-Juárez JD, Bravo BPA, García HA, Correa DG

Language: Spanish
References: 23
Page: 268-272
PDF size: 101.63 Kb.


ABSTRACT

Introduction. A difficult complication for the orthopaedic surgery is the pseudoarthrosis and the hip not this exempt of it represents it mainly a true problem when it is presented in young patients; however at the present time the substitution surgery to articulate offers advantages to give better quality of life. Objective. To present the reconstruction to articulate early with total substitution of hip with substitution prosthesis of calcar, in patients treated with pseudoarthrosis of hip for their early rehabilitation. Material and methods. Two cases treated of pseudoarthrosis of hip are presented, without good results with osteosynthesis in those which alone the total substitution with a femoral component with substitution of calcar solved the problem. Case one: feminine 37 years with pseudoarthrosis femoral proximal and lost bony, which treated with total prosthesis not cemented and bone graft autologous to reconstruct femur proximal, Case two: masculine of 55 years diabetic with pseudoarthrosis of hip which treated with total prosthesis not cemented with substitution of calcar. Results. The two patients presented early mobility, partially support with the help mechanical device to the two weeks and total support to the 6 weeks muscular force it integrates to the 4 weeks, with reinstatement to their activities to the 10 weeks. Conclusions. The total substitution of hip is a rescue method in patient with quality of poor life that they had complications and that there is not treatment option, however it is not the definitive solution to its problem but if it offers better quality of life.


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