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Chapter-349 Hip Arthrodesis

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Jain AK
2. Dhammi IK
ISBN
9789385891052
DOI
10.5005/jp/books/12869_350
Edition
3/e
Publishing Year
2016
Pages
9
Author Affiliations
1. VMMC and Safdarjung Hospital, New Delhi, India, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, University College of Medical Sciences (UCMS) and Guru Teg Bahadur (GTB) Hospital, New Delhi, India, University College of Medical Sciences (UCMS) and Guru Teg Bahadur (GTB) Hospital, New Delhi, India; The Tamil Nadu Dr MGR Medical University, Chennai, Tamil Nadu, India
2. University College of Medical Sciences and GTB Hospital, New Delhi, University College of Medical Sciences (UCMS) and Guru Teg Bahadur (GTB) Hospital, New Delhi, India
Chapter keywords
Hip arthrodesis, skeletally immature person, intra-articular arthrodesis, combined intra extra-articular arthrodesis, anterior plating technique, double-plating technique, anterolateral plate

Abstract

The need for arthrodesis in the current scenario of surface replacement, cemented and uncemented total hip replacement (THR) arthroplasty with the promise of improved functional results may be questioned. The THR is easier and more pleasurable to perform than hip arthrodesis. Intra-articular arthrodesis, extraarticular arthrodesis and combined intra extra-articular arthrodesis are three categories of arthrodesis of the hip. Systemic inflammatory disease, bilateral hip disease, a patient with stiff spine, limited life-expectancy as in malignancy, patients on long-term corticosteroid and ipsilateral knee involvement are the contraindications of hip arthrodesis. General considerations, recommended optimal positions, combined intra extra-articular arthrodesis, anterior plating technique, double-plating technique, anterolateral plate, operative procedure, arthrodesis in children, arthrodesis in special situations, gait in a fused hip, function after arthrodesis and total hip replacement after hip fusion are the different technique of hip arthrodesis.

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