Protrusio acetabuli and total hip arthroplasty in patients with Marfan syndrome

J Arthroplasty. 2012 May;27(5):776-82. doi: 10.1016/j.arth.2011.08.010. Epub 2011 Oct 4.

Abstract

Our goals were (1) to quantify protrusio acetabuli in patients with Marfan syndrome who underwent total hip arthroplasty and (2) to identify clinical results and complications associated with total hip arthroplasty in those patients. We reviewed the preoperative radiographs of the 29 patients (38 hips) in our study and analyzed the related patient operative reports, postoperative records, and self-administered questionnaires (mean follow-up, 116 ± 102 months). The mean preoperative center-edge angle of Wiberg was 50.9° ± 14°. Loosening (3) and radiolucent lines (4) occurred in femoral but not acetabular components. The hips had 15 complications, including 8 reoperations. High questionnaire scores (82 ± 13 points) indicated good hip function regardless of preoperative protrusio severity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Equipment Failure Analysis*
  • Female
  • Hip Dislocation / diagnostic imaging
  • Hip Dislocation / etiology*
  • Hip Joint / abnormalities*
  • Hip Joint / diagnostic imaging*
  • Humans
  • Male
  • Marfan Syndrome / diagnostic imaging*
  • Marfan Syndrome / rehabilitation*
  • Middle Aged
  • Radiography
  • Reoperation
  • Young Adult