Cementless Total Hip Arthroplasty With Modified Oblique Femoral Shortening Osteotomy in Crowe Type IV Congenital Hip Dislocation

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Küçük Resim

Tarih

2013

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Churchill Livingstone Inc Medical Publishers

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Midterm results of cementless total hip arthroplasty in patients with Crowe type IV congenital dislocation of the hip were evaluated. A modified oblique subtrochanteric shortening osteotomy was used in all patients. A cylindrical femoral stem was used in all patients to stabilize the osteotomy. Mean follow-up was 82 months in 20 hips of 16 patients. Mean Merle D'Aubigne pain score increased from 2.52 to 5.65 points, function score improved from 4.0 to 5.3 points, and mobility score improved from 3.95 to 5.35. Mean greater trochanter height relative to the estimated hip center was 6.8 +/- 2.0 cm preoperatively and -1 +/- 0.2 cm postoperatively. Complications were dislocations in 3 patients, which were successfully managed without redislocation and fracture of greater trochanter in 3 patients, which healed uneventfully in 2 but with residual Trendelenburg gait in one. Total hip arthroplasty with modified oblique subtrochanteric shortening osteotomy is an effective technique for the treatment for Crowe type IV hip dislocation.

Açıklama

Kilicoglu, Onder I/0000-0003-0023-7094; akgul, turgut/0000-0002-0704-3797

Anahtar Kelimeler

congenital dislocation, hip, Crowe type IV, total hip arthroplasty, cementless, oblique osteotomy

Kaynak

Journal Of Arthroplasty

WoS Q Değeri

Q2

Scopus Q Değeri

Q1

Cilt

28

Sayı

1

Künye

closedAccess