Hip Fusion (Subscribe)  

Motion analysis was performed on 9 patients who underwent unilateral hip arthrodesis between 1979 and 1991. A standard clinical gait analysis 3- dimensional model for the lower limb was used to calculate the effect of the fused hip on walking, compared with the contralateral normal hip. Results. Significant (p<0.05) gait adaptations noted in the fused side were,...

Patients with hip arthrodeses are at risk of developing back pain or pain in other joints in the long term. Conversion to a total hip replacement or hip resurfacing leads to resolution of symptoms in most patients. We report a 40-year-old man who underwent conversion of a hip arthrodesis to...

Pseudarthrosis rate 10%
Femoral # 10%
Back pain 60%
Knee Pain 50%
Fusion in adduction
  *less back & knee pain than those fused in abduction
  *lower incidence of degenerative changes in ipsilateral knee & better gait pattern

This is a case series of 11 children and adolescents who underwent femoral lengthening and percutaneous hip arthrodesis using a method of extra-articular joint compression in combination with callotasis. Clinical review indicated a significant improvement in physical function and psychological well-being. The average lengthening was 5.3 cm or 16% of...

Arthrodesis of the hip is seldom accepted as a reconstructive alternative by patients.1 Furthermore, most patients who have undergone this procedure in the past find it increasingly difficult to accept the lifestyle modification that is required and request its conversion to a total hip replacement, even in the absence of...

Fusion (ANKYLOSIS) can occur spontaneously following childhood sepsis, following ORIF of acetabular fractures (secondary to heterotopic bone) and in ankylosing spondylitis
Unpopular as leads to increased stress on other hip and ipsilateral knee
Oxygen consumption 32% greater than normal
Average walking speed 84% of normal
Indication
Young patient with unilateral hip disease (usually post-traumatic)
Contra-lateral...

Indications
Young adult
- 16 - 30 years old
- monoarticular D
- heavy demand
Exhausted options of osteotomy
Risk of THA failure (33-45%) and multiple revision surgeries considered too high

- hip fusions can occur spontaneously following childhood sepsis or after ORIF of acetabular fractures (secondary to heterotopic bone).
- they also occur spontaneously due to ankylosing spondylitis;
- surgical fusions are performed for young adults with advanced arthritis;
- indications:
  - desire to return to near-normal physical activity with manual labor;
  -...