Shortening subtrochanteric osteotomy and cup placement at true acetabulum in total hip arthroplasty of Crowe III–IV developmental dysplasia: results of midterm follow-up

被引：9

作者：

Rasi A.M. ^{[1
]}

Kazemian G. ^{[1
]}

Khak M. ^{[1
]}

Zarei R. ^{[2
]}

机构：

[1] Department of Orthopedic and Trauma Surgery, Shahid Beheshti University of Medical Sciences, Tehran

[2] Department of Orthopedic and Trauma Surgery, Qazvin University of Medical Sciences, Qazvin

来源：

European Journal of Orthopaedic Surgery & Traumatology | 2018年 / 28卷 / 5期

关键词：

Cotyloplasty; Developmental dysplasia of hip; Subtrochanteric osteotomy; Total hip replacement; True acetabulum;

D O I：

10.1007/s00590-017-2076-8

中图分类号：

学科分类号：

摘要：

Introduction: The anatomic abnormalities in developmental dysplasia of hip (DDH) often make total hip replacement (THR) inevitable at a younger age. However, there is no universal gold standard technique of THR for high dislocated dysplastic hips. Materials and methods: Here we present the outcomes of midterm follow-up after THR in patients diagnosed with DDH Crowe type III and IV hospitalized in a tertiary center in Iran for whom placement of a cup in true acetabulum and selective transverse subtrochanteric osteotomy was performed. Pre- and postoperative Harris Hip Score, leg length discrepancy and postoperative complications were evaluated. Results: A total of 48 patients with DDH Crowe type III and IV (uni- or bilateral which made 52 hips) were studied. Mean age of patients was 41 years with minimum follow-up ranging from 12 months to 3 years. Mean Harris Hip Score significantly improved from 41.70 preoperatively to 88.1 at last follow-up postoperatively. Leg length discrepancy of less than 2 cm was observed which was well tolerated using shoe lifts. Regarding postoperative complications, two patients had transient peroneal nerve palsy in early postoperative period which recovered within 2 months. No other major complication was encountered. Conclusion: THR in patients with DDH (Crowe III and IV) with a cup positioned in true acetabulum and transverse subtrochanteric osteotomy is a safe successful procedure. © 2017, The Author(s).

引用

页码：923 / 930

页数：7

共 27 条

[1]

Guille J.T., Pizzutillo P.D., MacEwen G.D., Development dysplasia of the hip from birth to six months, J Am Acad Orthop Surg, 8, 4, pp. 232-242, (2000)

[2]

Jacobsen S., Sonne-Holm S., Hip dysplasia: a significant risk factor for the development of hip osteoarthritis. A cross-sectional survey, Rheumatol (Oxf), 44, 2, pp. 211-218, (2005)

[3]

Hartofilakidis G., Karachalios T., Total hip arthroplasty for congenital hip disease, J Bone Joint Surg Am, 86-A, 2, pp. 242-250, (2004)

[4]

Weinstein S.L., Mubarak S.J., Wenger D.R., Developmental hip dysplasia and dislocation: part I, Instr Course Lect, 53, pp. 523-530, (2004)

[5]

Harada Y., Mitsuhashi S., Suzuki C., Yamashita K., Watanabe H., Akita T., Moriya H., Anatomically designed prosthesis without cement for the treatment of osteoarthritis due to developmental dysplasia of the hip: 6- to 13-year follow-up study, J Orthop Sci, 12, 2, pp. 127-133, (2007)

[6]

Sochart D.H., Porter M.L., The long-term results of Charnley low-friction arthroplasty in young patients who have congenital dislocation, degenerative osteoarthrosis, or rheumatoid arthritis, J Bone Joint Surg Am, 79, 11, pp. 1599-1617, (1997)

[7]

Crowe J.F., Mani V.J., Ranawat C.S., Total hip replacement in congenital dislocation and dysplasia of the hip, J Bone Joint Surg Am, 61, 1, pp. 15-23, (1979)

[8]

Harris W.H., Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation, J Bone Joint Surg Am, 51, 4, pp. 737-755, (1969)

[9]

Lai K.A., Shen W.J., Huang L.W., Chen M.Y., Cementless total hip arthroplasty and limb-length equalization in patients with unilateral Crowe type-IV hip dislocation, J Bone Joint Surg Am, 87, 2, pp. 339-345, (2005)

[10]

Biant L.C., Bruce W.J., Assini J.B., Walker P.M., Walsh W.R., Primary total hip arthroplasty in severe developmental dysplasia of the hip. Ten-year results using a cementless modular stem, J Arthroplasty, 24, 1, pp. 27-32, (2009)

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