0000000000222515
AUTHOR
T. Rosendahl
Vergleich der prognostischen Aussagefähigkeit der Catterall- und Herring-Klassifikation bei Patienten mit Morbus Perthes
QUESTION Investigation of the predictive value of the Catterall- as compared to the Herring-classification in patients with Perthes disease. METHOD A radiological follow-up study including 53 patients with a total of 59 affected hips was carried out. In the initial diagnosis the Catterall-, Waldenstrom- and Herring-stages were assessed. The epiphyseal ratio, the head-neck ratio and the lateral subluxation were measured and compared at the time of diagnosis, fragmentation stage and in a follow-up examination, which was carried out 4, 9 years after diagnosis on the average. The results of the follow-up examination were assessed using the Mose-classification and compared as well. In addition t…
Proximale Verankerung von Hüft-Endoprothesen mit poröser Oberfläche: 6-Jahres-Ergebnisse
PROBLEM The anatomically shaped pcl (ESKA) total hip replacement has a porous coating of the proximal stem and the cup to allow for bony ingrowth. The tip of the stem is polished. METHOD We report the results of 96 THR 6.2 years (5.25-6.7) after implantation. RESULTS There were no revisions during this period. One stem showed radiographic loosening at follow-up. There was stress-shielding in 9.4% in contrast to the concept of proximal fixation. Thigh-pain was found in 9.4%. One patient demonstrated disabling thigh-pain despite radiologic bony ingrowth. By drilling the femur distal to the tip of the stem a remarkable relief was achieved. CONCLUSION Despite numerous cases of stress-shielding …