Back to Journals » Therapeutics and Clinical Risk Management » Volume 14

Total hip arthroplasty following arthrodesis: a single-center experience of 17 patients

Authors Çalbıyık M

Received 24 January 2018

Accepted for publication 12 March 2018

Published 11 April 2018 Volume 2018:14 Pages 659—664


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Garry Walsh

Murat Çalbıyık

Department of Orthopedics and Traumatology, Hitit University, Faculty of Medicine, Corum, Turkey

Purpose: We aimed to present our experience with total hip arthroplasty in patients with previous hip arthrodesis.
Patients and methods: This was a retrospective study, in which clinical and radiological outcomes of total hip arthroplasty performed in 17 patients (mean age 54.2±8.5 years; age range 33–68 years; female to male ratio 10/7) with previous arthrodesis in our clinic between 2001 and 2014 were reviewed. Patients were followed up for 6.7±2.8 years (range 3–12 years) after the operation and evaluated for ipsilateral knee pain, range of motion, walking capacity, and leg-length discrepancy. The clinical outcome was assessed by the Harris Hip Score.
Results: The outcome of arthroplasty was good or excellent in 14 of 17 patients (82.3%), fair in two patients (11.8%), and failure in one patient (5.9%). The Harris Hip Score increased to 79.8±9.8 postoperatively from a preoperative score of 40.9±10.1 (p<0.01). Pain-free hip was obtained in 15 patients (88.2%), and range of motion was 88°. Fourteen patients (82.4%) reported a significant decrease in back pain, and 11 patients (64.7%) in ipsilateral knee pain. Ten patients (58.8%) were able to walk normally, five patients (29.4%) walked with slight Trendelenburg gait without support, and two patients (11.8%) with severe Trendelenburg gait using arm rests. The mean leg-length discrepancy was 1.1 cm (range 0–3 cm). The complications were peroneal nerve palsy (n=3), superficial wound infection (n=3), hip dislocation (n=2), and heterotopic ossification (n=3).
Conclusion: If it is well planned, conversion of hip arthrodesis to total hip arthroplasty is a successful and safe procedure, which increases patients’ functionality.

Keywords: hip arthrodesis, total hip arthroplasty, retrospective, range of motion

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]