{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:34:40Z","timestamp":1763465680171,"version":"3.45.0"},"reference-count":24,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"5","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,6,28]],"date-time":"2018-06-28T00:00:00Z","timestamp":1530144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective\nThere is limited literature concerning the outcomes and role of THA as a surgical option for amputee patients. The aim of this study is to determine the mid-to long-term survival and complication rates of cementless total hip arthroplasty (THA) in patients with contralateral below knee amputations.\nMethods\nA retrospective review of 54 patients with below knee amputation were perfomed who underwent THA for osteoarthritis of the contralateral hip over a 5-year period between 1999 and 2014. Patients were monitored for at least 5 years and assessed with the Harris Hip Score and activities of daily living scale and by evaluating migration or osteolysis around the acetabular cup and femoral stems (amputee group). The amputee group was compared with a control group (non-amputee group) with the same number of patients.\nResults\nDifferences in the Harris Hip Score (p = 0.021) and activities of daily living scale (p = 0.043) between the two groups were statistically significant lower in the amputee group at 3 months after surgery. However, no differences were found between the groups from 6 months postoperatively to the last follow-up (Harris Hip Score p = 0.812, activities of daily living scale p = 0.885). Radiologically, any cups or stems showed no signs of migration or osteolysis. In the amputee group, dislocation was found in 1 patient 2 months after arthroplasty (p = 0.315) and long stem revision surgery were performed on two patients due to periprosthetic fracture (p = 0.153).\nConclusions\nTHA performed on the contralateral side of patients with below knee amputation is considered to be an effective treatment with good clinical and radiological results at mid-to long-term follow-up.\nLevel of evidence\nLevel IV, therapeutic study.\nER -<\/jats:p>","DOI":"10.1016\/j.aott.2018.06.014","type":"journal-article","created":{"date-parts":[[2018,8,7]],"date-time":"2018-08-07T11:37:19Z","timestamp":1533641839000},"page":"343-347","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Mid-to long-term results of total hip arthroplasty after contralateral lower extremity amputation"],"prefix":"10.5152","volume":"52","author":[{"given":"Hong-man","family":"CHO","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae-woong","family":"SEO","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun-ju","family":"LEE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyu-bok","family":"KANG","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jung-ryul","family":"K\u0130M","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho-wook","family":"WEE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"key":"10.1016\/j.aott.2018.06.014_bib1","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1682\/JRRD.2006.11.0147","article-title":"Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use","volume":"45","author":"Gailey","year":"2008","journal-title":"J\u00a0Rehabil Res Dev"},{"key":"10.1016\/j.aott.2018.06.014_bib2","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1136\/ard.37.3.252","article-title":"Bone and joint changes in lower limb amputees","volume":"37","author":"Burke","year":"1978","journal-title":"Ann Rheum Dis"},{"key":"10.1016\/j.aott.2018.06.014_bib3","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1191\/026921598672393611","article-title":"Association between amputation, arthritis and osteopenia in British male war veterans with major lower limb amputations","volume":"12","author":"Kulkarni","year":"1998","journal-title":"Clin Rehabil"},{"key":"10.1016\/j.aott.2018.06.014_bib4","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1016\/j.apmr.2008.08.220","article-title":"The prevalence of osteoarthritis of the intact hip and knee among traumatic leg amputees","volume":"90","author":"Struyf","year":"2009","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.aott.2018.06.014_bib5","doi-asserted-by":"crossref","first-page":"394","DOI":"10.3928\/01477447-20150504-56","article-title":"Total hip arthroplasty after lower extremity amputation","volume":"38","author":"Amanatullah","year":"2015","journal-title":"Orthopedics"},{"key":"10.1016\/j.aott.2018.06.014_bib6","doi-asserted-by":"crossref","first-page":"737","DOI":"10.2106\/00004623-196951040-00012","article-title":"Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation","volume":"51","author":"Harris","year":"1969","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.aott.2018.06.014_bib7","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1111\/j.1532-5415.1983.tb03391.x","article-title":"Assessing self-maintenance: activities of daily living, mobility, and instrumental activities of daily living","volume":"31","author":"Katz","year":"1983","journal-title":"J\u00a0Am Geriatr Soc"},{"key":"10.1016\/j.aott.2018.06.014_bib8","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/j.arth.2003.10.016","article-title":"A\u00a0simplified method to determine acetabular cup anteversion from plain radiographs","volume":"19","author":"Widmer","year":"2004","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.aott.2018.06.014_bib9","first-page":"20","article-title":"Radiological demarcation of cemented sockets in total hip replacement","volume":"121","author":"DeLee","year":"1976","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.aott.2018.06.014_bib10","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1054\/arth.2002.32171","article-title":"Results of a tapered cementless femoral stem implanted in varus","volume":"17","author":"Khalily","year":"2002","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.aott.2018.06.014_bib11","first-page":"17","article-title":"\u201cModes of failure\u201d of cemented stem-type femoral components: a radiographic analysis of loosening","volume":"141","author":"Gruen","year":"1979","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.aott.2018.06.014_bib12","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/S0883-5403(00)91181-1","article-title":"The reliability and validity of the Vancouver classification of femoral fractures after hip replacement","volume":"15","author":"Brady","year":"2000","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.aott.2018.06.014_bib13","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1002\/acr.21898","article-title":"Lifetime risk and age at diagnosis of symptomatic knee osteoarthritis in the US","volume":"65","author":"Losina","year":"2013","journal-title":"Arthritis Care Res"},{"key":"10.1016\/j.aott.2018.06.014_bib14","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1016\/S0003-9993(96)90236-1","article-title":"Rehabilitation in limb deficiency. 1. Gait and motion analysis","volume":"77","author":"Czerniecki","year":"1996","journal-title":"Arch Phys Med Rehab"},{"key":"10.1016\/j.aott.2018.06.014_bib15","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/j.apmr.2004.04.034","article-title":"The prevalence of knee pain and symptomatic knee osteoarthritis among veteran traumatic amputees and nonamputees","volume":"86","author":"Norvell","year":"2005","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.aott.2018.06.014_bib16","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1097\/00003086-198901000-00032","article-title":"Prosthetic usage following major lower extremity amputation","volume":"238","author":"Moore","year":"1989","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.aott.2018.06.014_bib17","first-page":"373","article-title":"Gait patterns in above-knee amputees","volume":"53","author":"Zuniga","year":"1972","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.aott.2018.06.014_bib18","doi-asserted-by":"crossref","first-page":"1209","DOI":"10.1016\/S0003-9993(96)90151-3","article-title":"Mechanical work adaptations of above-knee amputee ambulation","volume":"77","author":"Seroussi","year":"1996","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.aott.2018.06.014_bib19","first-page":"165","article-title":"Angle-angle diagrams in above-knee amputee and cerebral palsy gait","volume":"59","author":"Hershler","year":"1980","journal-title":"Am J Phys Med"},{"key":"10.1016\/j.aott.2018.06.014_bib20","doi-asserted-by":"crossref","first-page":"1673","DOI":"10.1053\/apmr.2001.26255","article-title":"Vertical impact increase in middle age may explain idiopathic weight-bearing joint osteoarthritis","volume":"82","author":"Robbins","year":"2001","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.aott.2018.06.014_bib21","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1016\/j.arth.2005.02.001","article-title":"Periprosthetic femoral fractures classification and demographics of 1049 periprosthetic femoral fractures from the Swedish National Hip Arthroplasty Register","volume":"20","author":"Lindahl","year":"2005","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.aott.2018.06.014_bib22","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/S0031-9406(05)66968-4","article-title":"Falls in patients with lower limb amputations: prevalence and contributing factors","volume":"82","author":"Kulkarni","year":"1996","journal-title":"Physiotherapy"},{"key":"10.1016\/j.aott.2018.06.014_bib23","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1053\/apmr.2001.24295","article-title":"The prevalence and risk fctors of falling and fear of falling among lower extremity amputees","volume":"82","author":"Miller","year":"2001","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.aott.2018.06.014_bib24","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1016\/0021-9290(94)00124-M","article-title":"Kinetic analysis of the lower limbs during walking: what information can be gained from a three-dimensional model?","volume":"28","author":"Eng","year":"1995","journal-title":"J\u00a0Biomech"}],"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X17300974?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X17300974?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3384\/3331","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:32:27Z","timestamp":1763465547000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3384"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,6]]},"references-count":24,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2018,1,5]]}},"URL":"https:\/\/doi.org\/10.1016\/j.aott.2018.06.014","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Mid-to long-term results of total hip arthroplasty after contralateral lower extremity amputation","name":"articletitle","label":"Article Title"},{"value":"Acta Orthopaedica et Traumatologica Turcica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aott.2018.06.014","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}