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Year : 1994  |  Volume : 28  |  Issue : 3  |  Page : 3-7

Bipolar Prosthesis - The Viable Alternative To THR In Patients With Ankylosing Spondylitis



Correspondence Address:
R Malhotra


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Bipolar prosthesis was used to manage twenty three arthritic hips in fifteen patients with ankylosing spondylitis. Additional procedures used were adductor tenotomy in nine, iliopoas release in five, anterior capsulectomyin thirteen, knee flexion contracture release in nine, supracondylar osteotomy of femur in one had tendo-Achilles lengthening in one patient. All the patients showed remarkable improvement in terms of ambulation, function, pain relief and sum total range of movements. Heterotopic ossification did not occur in any case. Two third patients returned to their original occupation. Aseptic loosening led to revision to cemented THR in one case. Bipolar prosthesis is safe, reliable, technically easy and less complicated alternative to THR in arthritic hip in patients with ankylosing spondylitis. When need arises in future, it can be easily revised to THR.


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