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International Orthopaedics
Published in: International Orthopaedics 5/2011

01-05-2011 | Original Paper

Total hip arthroplasty in patients with Down’s syndrome

Authors: Yona Kosashvili, Drew Taylor, David Backstein, Oleg Safir, Boaz Liberman, Dror Lakstein, Allan Gross

Published in: International Orthopaedics | Issue 5/2011

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Abstract

Patients with Down’s syndrome (DS) have an increased incidence of coxarthrosis which may become symptomatic with prolonged life expectancy. We present seven consecutive patients (nine hips) with DS who had primary total hip arthroplasty (THA). Average clinical and radiological follow-up was 9.9 ± 6.4 years (range 2–22.25). Harris hip scores (HHS) improved significantly (p < 0.01) from 41.1 (range 18.5–65) to 80.2 (range 67.5–91) at latest follow-up. Two patients required revision arthroplasty for stem loosening at 16 (osteolysis) and six years (trauma) following THA, respectively. Six of the THAs required a constrained liner. No dislocations or deep infections were encountered. We contend that THA is a reliable surgical intervention in patients with DS and may be performed in symptomatic patients.
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Metadata
Title
Total hip arthroplasty in patients with Down’s syndrome
Authors
Yona Kosashvili
Drew Taylor
David Backstein
Oleg Safir
Boaz Liberman
Dror Lakstein
Allan Gross
Publication date
01-05-2011
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 5/2011
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-010-1030-8

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