DOUBLE-CHEVRON SUBTROCHANTERIC SHORTENING DEROTATIONAL FEMORAL OSTEOTOMY COMBINED WITH TOTAL HIP-ARTHROPLASTY FOR THE TREATMENT OF COMPLETE CONGENITAL DISLOCATION OF THE HIP IN THE ADULT

被引：105

作者：

BECKER, DA

GUSTILO, RB

机构：

[1] Minneapolis Orthopaedic and Arthritis Institute, Minneapolis, Minnesota

来源：

JOURNAL OF ARTHROPLASTY | 1995年 / 10卷 / 03期

关键词：

TOTAL HIP ARTHROPLASTY; DOUBLE-CHEVRON SUBTROCHANTERIC SHORTENING DEROTATIONAL FEMORAL OSTEOTOMY; COMPLETE CONGENITAL DISLOCATION OF THE HIP IN THE ADULT;

D O I：

10.1016/S0883-5403(05)80180-9

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Total hip arthroplasty for the treatment of complete congenital dislocation of the hip in the adult has been associated with high rates of complications, including acetabular component loosening, femoral or sciatic nerve palsy, and prosthetic dislocation. Placement of the acetabular component in the true acetabulum has yielded the most durable results, but leads to significant limb lengthening, which is associated with sciatic and femoral nerve palsy. Femoral shortening with a transverse osteotomy tends to be torsionally unstable. Increased femoral anteversion complicates femoral component placement and, if not corrected can lead to postoperative anterior instability and component dislocation. A new surgical technique that combines total hip arthroplasty with a femoral subtrochanteric shortening derotational double-chevron osteotomy in complete congenital hip dislocation using standard components is described. This procedure has been successfully performed in seven hips.

引用

页码：313 / 318

页数：6

共 16 条

[1]

Carret JP, Bonnin M, Dejour H, Total hip prosthesis in coxarthrosis following congenital hip dislocation (65 hips reviewed at 5 years), Acta Orthop Belg, 56, (1990)

[2]

Crowe JF, Mani VJ, Ranawat CS, Total hip replacement in congenital dysplasia and dislocation of the hip, J Bone Joint Surg, 61 A, (1979)

[3]

Garvin KL, Bowen MK, Salvati EA, Ranawat CS, Long-term results of total hip arthroplasty in congenital dislocation and dysplasia of the hip: a follow-up note, J Bone Joint Surg, 73 A, (1991)

[4]

Kavanagh BF, Shaughnessey WF, Fitzgerald RH, Congenital dislocation of the hip, Joint replacement surgery, (1991)

[5]

Linde F, Jensen J, Pilgaard S, Charnley arthroplasty in osteoarthritis secondary to congenital dislocation or subluxation of the hip, Clin Orthop, 227, (1988)

[6]

McQueary FG, Johnston RC, Coxarthrosis after congenital dysplasia: treatment by total hip arthroplasty without acetabular bone-grafting, J Bone Joint Surg, 70 A, (1988)

[7]

Buchholz HW, Baars GW, Dahmen G, Behrend R, Early experiences with the total mini hip-joint endoprosthesis (St. George Mini model) in dysplasia coxarthrosis, Z. Orthop, 123, (1985)

[8]

Kolmert L, Persson BM, Pettersson H, Hip arthroplasty for congenital dislocation, Acta Orthop Scand, 57, (1986)

[9]

Woolson ST, Harris WH, Complex total hip replacement for dysplastic or hypoplastic hips using miniature or microminiature components, J Bone Joint Surg, 65 A, (1983)

[10]

Sponseller PD, McBeath AA, Subtrochanteric osteotomy with intramedullary fixation for arthroplasty of the dysplastic hip: a case report, J Arthroplasty, 3, (1988)

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