Evaluation of the Hip Center in Total Hip Arthroplasty for Old Developmental Dysplasia

被引:55
作者
Flecher, Xavier [1 ]
Parratte, Sebastien [1 ]
Brassart, Nicolas [1 ]
Aubaniac, Jean-Manuel [1 ]
Argenson, Jean-Noel [1 ]
机构
[1] Aix Marseille Univ, Hosp St Marguerite, Dept Orthoped Surg, Serv Chirurg Orthoped, F-13009 Marseille, France
关键词
total hip arthroplasty; cementless; developmental dysplasia of the hip; congenital luxation; hip center;
D O I
10.1016/j.arth.2007.10.008
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
We describe the problems with positioning the hip center according to the severity of dislocation in 97 cementless total hip arthroplasty for developmental dysplasia of the hip. The mean location of the hip center from the inteardrop was 30.4 +/- 8.7 mm horizontally and 23.4 +/- 5.4 mm vertically. The presence of a limp correlated with a superior placement of the cup. Four cups were revised, 2 of which with a significant high hip center. The survival rate of the acetabular component was 95% at 12 years. Craniopodal repositioning was easy in class 1. In class 2, the cup was the largest. In class 3, the greatest variations of the hip center were found. In class 4, the smallest implants were necessary for positioning in the true acetabulum.
引用
收藏
页码:1189 / 1196
页数:8
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