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Uncemented Total Hip Arthroplasty For Osteonecrosis of The Femoral Head in Late Diagnosed Developmental Dysplasia of The Hip: A Case Report

Volume: 97  ,  Issue: 1 , March    Published Date: 21 March 2022
Publisher Name: IJRP
Views: 373  ,  Download: 251 , Pages: 161 - 168    
DOI: 10.47119/IJRP100971320222981

Authors

# Author Name
1 Leonardus William Kuswara
2 Agus Eka Wiradiputra,
3 I Gusti Ngurah Paramartha Wijaya Putra

Abstract

Background: Osteonecrosis of the femoral head (ONFH) is a disease in which local death of osteocytes and the component of the bone marrow occurs owing to venous stasis or arterial blood supply damage or interruption in the femoral head. Developmental dysplasia of the hip (DDH) is characterized by an abnormal anatomical relationship between the femoral head and acetabulum, and includes acetabular dysplasia, subluxation and in the most severe cases, development dislocation of the hip joint. Total Hip Arthroplasty (THA) is among the most successful orthopedic procedures worldwide. For acute and chronic hip diseases, THA can relieve joint pain, correct deformities, and restore and improve hip function. This study aims to understand the efficacy of Uncemented Total Hip Arthroplasty as the treatment of choice for osteonecrosis of the femoral head and late diagnosed developmental dysplasia of the hip in young adult patient. Case Report: We present a case of osteonecrosis of the femoral head and late diagnosed developmental dysplasia of the hip in a 32 years old active male. He had a history of falling trauma from a height of about 1.5 meters at the age of 12 years (20 years ago), and at that period the patient was diagnosed with right femoral head fracture and had a special condition, namely developmental dysplasia of the hip, since that incident the patient had not been looking for any treatment and was unable to walk normally and always had a limping gait. Uncemented Total Hip Replacement procedure is chosen and performed successfully with good outcomes within 16 weeks after the procedure. Discussion: Uncemented and cemented replacement had satisfactory long-term survival but they differed in their modes of failure. Patients who undergo total hip arthroplasty for osteonecrosis of the femoral head are younger and more active compared to those with osteoarthritis, showing a high likelihood of future revision procedures. Therefore, cementless applications is more appropriate alternative in young adult patient with osteonecrosis of femoral head. Conclusion: Uncemented Total Hip Arthroplasty in young adult male patients with osteonecrosis of the femoral head and late diagnosis of DDH is a suitable option and has a high level of the functional effectiveness and good material durability.