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the setting of prior lumbar arthrodesis is associated with inferior outcome (increased complication and revision rates) for a multitude of reasons ( 18 , 19 , 20 , 21 , 22 , 26 , 27 ). The complication with the greatest risk following THA in the
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X-ray image due to pelvic tilt following a lumbar arthrodesis. Fig. 3 Same implant and patient, different X-ray angle leading to different evaluation of cup orientation. (a) incorrect beam angle: cup too vertical and anteverted position
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in one patient in De Vastel’s series, but this case has a limited follow-up, allowing no judgement. Arthrodesis remains the ultimate and rare solution. It probably results in less recurrence because of the destruction of the joint space, but
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Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK
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Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK
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Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK
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risk of fracture and other mechanical complications ( 38 , 39 ). In the knee, handmade spacers can also be constructed around arthrodesis intramedullary nails such as the LINK® (LINK Orthopaedics UK Ltd, Edinburgh, UK) arthrodesis nail ( Fig. 3
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, THA should be performed first. In a very large Medicare study, both dislocation and revision rates were much higher in patients with THA after lumbar spine fusion than in patients with THA and a delayed spinal arthrodesis. 70 In clinical and
Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Italy.
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procedure such as hip arthrodesis might be an alternative choice, especially in CP patients with normal contralateral hip and without structural and/or functional spine impairments, 42 even if this procedure is associated with high complication rate
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primary THA grouped by length of prior spinal arthrodesis (SA) (no fusion, 1–2 levels fused (S-SAHA), ≥3 levels fused (L-SAHA)) and compared to controls, Sing et al . found significantly higher rates of complications within 24 months in patients with
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Department Of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg, Sweden
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improve visualisation and provide improved access to both acetabulum and femur. Extended trochanteric osteotomy may be a useful adjunct in exposure of complex primary hip replacement or conversion of arthrodesis to hip arthroplasty. Luo et al 23
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hip arthrodesis, 7 as well as revision hip arthroplasty in patients with abductor deficiency as the modified TSO preserves the posterior capsule and short external rotators. 8 Contrary to TSO, both the ETO and transfemoral osteotomy are the
IRCCS Galeazzi Orthopedic Institute, Milan, Italy
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IRCCS Galeazzi Orthopedic Institute, Milan, Italy
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? Injury 2007 ; 38 ( Suppl 1 ): S75 - S80 . 8 Kannan A , Dodwad SN , Hsu WK . Biologics in spine arthrodesis . J Spinal Disord Tech 2015 ; 28 : 163 - 170 . 9 Kobayashi S , Saito N , Nawata
