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Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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ecovery <strong>of</strong> chief complaints such as low back pain, knee pain or contralateral hip pain.However, <strong>the</strong>re were few reports <strong>of</strong> conversion focusing on <strong>the</strong> chief complaints. The purpose<strong>of</strong> this study was to evaluate <strong>the</strong> results <strong>of</strong> total hip arthroplasties (THAs) with arthrodesed hips.Material and Methods: Between February 2004 and July 2009, fifteen arthrodesed hips wereconverted to THAs in 15 patients with a mean follow-up <strong>of</strong> 3.2 years (0.4 to 5). There were 10women and 5 men with a mean age <strong>of</strong> 62.2 years (46 to 84) at <strong>the</strong> time <strong>of</strong> <strong>the</strong> operation. Themean duration <strong>of</strong> arthrodesis before conversion was 34.5 years (3 to 78). Initial diagnosis wastuberculosis in 7 hips, developmental dysplasia in 3 hips, ankylosing spondylitis in 2 hips,sepsis in 2 hips and aseptic necrosis in 1 hip. Before surgery, 10 hips (67%) had a surgicalfusion and 5 hips (33%) had a spontaneous fusion. The operation was carried out with <strong>the</strong>patient in <strong>the</strong> lateral decubitus position using Dall’s transgluteal approach, and all patientsreceived cemented THAs. The hips were assessed clinically and radiologically before surgery,at 3 months, 6 months and yearly after THA, retrospectively. No patients were lost to followup.Results: The mean Japanese Orthopaedic Association hip score improved from a mean <strong>of</strong> 49.1(24 to 71) to a mean <strong>of</strong> 74.2 (40 to 89) at <strong>the</strong> final follow-up. In particular, <strong>the</strong> result <strong>of</strong>conversion in a spontaneous fusion was better than in a surgical fusion. Relief <strong>of</strong> low back pain(10 patients), knee pain (9 patients) or contralateral hip pain (4 patients) was evident in allpatients. No radiolucent lines or evident loosening at <strong>the</strong> most recent follow-up was seen. Postoperativecomplication included 1 recurrent dislocation requiring revision.Conclusions: The outcome after conversion <strong>of</strong> arthrodesis to THA was favorable. However, <strong>the</strong>indication <strong>of</strong> conversion should be selected carefully because <strong>of</strong> preoperative poor function andpostoperative long management.Poster: 113Total Joint Arthroplasty for QuantiFERON Positive PatientsTakuma Yagura - Kansai Medical University - Osaka, Japan*Kenichi Oe - - ,Tomohisa Nakamura - Kansai Medical University - Hirakata, JapanHiroshi Ohno - Kansai Medical University - Hirakata, JapanTakahiko Wada - Kansai Medical University - Hirakata, JapanHirokazu Iida - Kansai Medical University - Hirakata, Japan*Email: enichi.1972@k7.dion.ne.jpBackground: Joint tuberculosis (TB) is one <strong>of</strong> <strong>the</strong> disorders that we have to keep in our hearts.It is well known that QuantiFERON-TB Gold (QFT-G, Cellestis Limited, Australia) is commonmethod for <strong>the</strong> diagnosis <strong>of</strong> TB. However, <strong>the</strong>re is no guideline <strong>of</strong> <strong>the</strong> orthpaedic treatment forQFT-G positive cases. Here we report that <strong>the</strong> successful treatment <strong>of</strong> five cases who wereperformed total joint arthroplasty (TJA) in QFT-G positive.Material and Methods: Between August 2009 and February 2010, five TJAs were performedfile:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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