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