Acta Rheumatologica

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Abstrato

Clinical Tomography and Functional Outcomes of Porcelain-Based Surgery on Older Patients

Lisa Balistreri

Total hip replacement (THR) is a widely used surgical procedure to relieve pain and improve function and quality of life for patients with hip disorders. Osteoarthritis is the most common condition that leads to hypertension, with most surgeries performed to treat severe osteoarthritis that causes pain and limited function. Despite the apparent success of PTH, the search for improvement and better outcomes, especially in the long term, continues, especially in elderly patients, for whom little evidence remains science. To evaluate clinical, radiological and functional aspects before surgery and two years after hypertension using a ceramic component device in elderly coxarthrosis patients. A retrospective cohort study was performed to evaluate 65 elderly people with hip hypertension with an acetabular component (MD® ceramic head with acetabular insertion) in combination with an MD6® Phenom® femoral stem type, disease Institut de la Luz, São Paulo/SP , between 2018 and 2019. Anthropometric and clinical information on surgery and two-year follow-up were collected from the patient's medical records. To assess clinical function, the Harris Hip Score (HHS) questionnaire and hip motion angle measurement were applied. For X-ray parameters, acetabular component localization, DeLee region, and acetabular component transposition. The prevalence of hypertension was higher in men (53.8%). The radiographic parameters before and after surgery 2 years after surgery to treat hypertension showed that the positioning angle of the acetabulum (p=0.083) and femur (p=0.102) was maintained and function was increased. (p<). ; 0.001) and hip mobility (p=0.001) reduced pain after two years of hypertension. Complications related to dislocation, looseness, infection and improper implant placement are all low, only 1.5-3%. Elderly patients undergoing surgery for primary hypertension with an acetabular ceramic component device, during a two-year follow-up period, have been shown to be effective in improving clinical, radiological aspects and function.

Hip; Osteoarthritis; Pain; Instability; Functionality