SCFE
Indications for THA
Osteoarthritis
- abnormal morphology
- loss of head neck offset
- bony impingement on acetabulum
AVN
Osteoarthritis
- abnormal morphology
- loss of head neck offset
- bony impingement on acetabulum
AVN
First generation (late 70s early 80s)
Results
Male & Females > 60 years
- X-ray evidence of OA
Symptomatic
- 25% females
- 15% males
Base thumb
PIPJ / Bouchard's nodes
DIPJ / Heberden's nodes
Relatively rare
Average age 50
Men 4:1 Women
Usually dominant arm
Primary
- associated with strenuous manual labour
Secondary
- trauma
- OCD
- synovial chondromatosis
- valgus extension overload / MCL insufficiency