Functional results and complications following conversion of hip fusion to total hip replacement

ArticleinThe Bone & Joint Journal 94-B(11_Supple_A):36-41 · November 2012with5 Reads
Impact Factor: 3.31 · DOI: 10.1302/0301-620X.94B11.30615

    Abstract

    Eighteen hip fusions were converted to total hip replacements. A constrained acetabular liner was used in three hips. Mean follow up was five years (two to 15). Two (11%) hips failed, requiring revision surgery and two patients (11%) had injury to the peroneal nerve. Heterotopic ossification developed in seven (39%) hips, in one case resulting in joint ankylosis. No hips dislocated. Conversion of hip fusion to hip replacement carries an increased risk of heterotopic ossification and neurological injury. We advise prophylaxis against heterotropic ossification. When there is concern about hip stability we suggest that the use of a constrained acetabular liner is considered. Despite the potential for complications, this procedure had a high success rate and was effective in restoring hip function.