Results: We collected 47 patients with hip osteoarthritis, 9 of which were bilateral. The male sex represented 55.3%. The average age of our patients was 42.51 years, with extremes of 20 years and 70 years. Secondary hip osteoarthritis accounted for 91%. The mean algofunctional index was 10.61, associated with a vicious scoliosis attitude in 51.1%. The body mass index was normal in 76.6%. The associated defects were hypertension (5 cases), sickle cell disease (3 cases) and diabetes (1 case). Kellgren and Lawrence stage 4 was the radiological stage observed in 66% of patients. The Hardinge approach was used in all operated (100%) on ALR (100%). Antibiotic prophylaxis was performed in 85.1% and thromboembolic prophylaxis in all patients for at least 3 weeks. Hybrid PTH was achieved in 85.1%. We recorded one case of death before any surgery, 2 cases of hemorrhage linked to operational difficulties, 2 cases of early loosening (acetabular), 3 cases of limb lengthening, and superficial infection of the surgical site. The functional results after a mean follow-up of 20.23 months were excellent and good in 95.7% according to the score of Postel Merle d ́Aubigné.
Presurgical nasoalveolar molding (PNAM) consists of selectively repositioning the alveolar segments as well as the surrounding soft tissue by active molding. This case series documents the rehabilitation of three unilateral mid-facial cleft patients. Enhancement of surgical outcome, reduction of need for revision after surgery, as well as reduction of cost can be achieved with PNAM before primary closure.
