Total hip arthroplasty for developmental hip dysplasia

被引:69
作者
Papachristou, G [1 ]
Hatzigrigoris, P [1 ]
Panousis, K [1 ]
Plessas, S [1 ]
Sourlas, J [1 ]
Levidiotis, C [1 ]
Chronopoulos, E [1 ]
机构
[1] Natl & Kapodistrian Univ, Constantopoulion St Olga Hosp, Univ Dept Orthopaed 2, Athens 15669, Greece
关键词
D O I
10.1007/s00264-005-0027-1
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 reviewed 38 hip replacements in 33 female patients (mean age 55.3 years) with developmental hip dysplasia. One patient had died and the remaining 32 patients (36 hips) had a mean follow-up of 12.2 years (range 8 to 19 years). All hips were replaced using the Muller cemented implant and in 32 bulk femoral head autograft was used. In 33 hips the socket was reconstructed at the level of the true acetabulum. Complications included one intra-operative femoral fracture and two early dislocations. Correction of leg length discrepancy was possible in 30 patients. The post-operative mean modified Merle d'Aubigne and Postel scores for pain, movement and walking were 5.9, 5 and 5.3 respectively. One cup was revised due to aseptic loosening at ten years. All grafts united but minor graft resorption was noticed in 24 hips, moderate in two and major in one.
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页码:21 / 25
页数:5
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