Original ArticleResults on Total Hip Arthroplasties With Femoral Shortening for Crowe's Group IV Dislocated Hips
Section snippets
Patients and Methods
Between 1990 and 2002, total hip arthroplasties were performed on 12 adult female patients with Crowe's group IV completely dislocated hips. One patient was lost to follow-up study. The remaining 11 hips of 11 patients were analyzed in this series. The mean age of the patients at surgery was 59.6 years (range, 42-76 years), and the mean follow-up period was 65 months (range, 30-169 months). The main indication for surgery was pain around the hips. Three of the 11 patients had been treated in
Clinical Results
Using the Merle d'Aubigne and Postel system, the unrevised hip was advanced from a mean of 10.9 (range, 7-12) points to 16.9 (range, 15-18) points at the latest follow-up (P < .05). The mean pain score had confirmed recuperation from 2.8 (range, 1-4) points preoperatively to 6 (all 6), the mean mobility score progressed from 5.2 (range, 3-6) points to 5.9 (range, 5-6), and the mean walking score improved from 2.9 (range, 2-4) to 5.0 (range, 3-6) points (Fig. 3).
The Amount of Femoral Resection and Leg Lengthening
The mean amount of intraoperative
Discussion
Russotti and Harris [11] reported that the average horizontal distance of an anatomic hip center in normal hips was 37 mm and the vertical height, 14 mm, whereas Yoder et al [12] reported that they are 42 and 14 mm, respectively. Using 57 female pelvic cadaver specimens with normal hips, John and Fisher [13] found the mean measurements to be 25 and 14 mm. From these data, we can see that in our series, the average location of the postoperative hip center was of normal height and a somewhat
References (18)
- et al.
Subtrochanteric shortening and derotational osteotomy in primary total hip arthroplasty for patients with severe hip dysplasia: 5-year follow-up
J Arthroplasty
(2003) - et al.
Acute stretching of peripheral nerves inhibits retrograde axonal transport
J Hand Surg Br
(1996) - et al.
Subtrochanteric femoral shortening osteotomy in total hip arthroplasty for high-riding developmental dislocation of the hip
J Arthroplasty
(1997) - et al.
Total hip replacement in congenital dislocation and dysplasia of the hip
J Bone Joint Surg Am
(1979) - et al.
Femoral shortening in total arthroplasty for completely dislocated hips: 3-7 years results in 25 cases
Acta Orthop Scand
(1996) - et al.
Femoral shortening and cementless arthroplasty in high congenital dislocation of the hip
J Arthroplasty
(2002) The direct lateral approach to the hip
J Bone Joint Surg Br
(1982)- et al.
Medial protrusion technique for placement of a porous-coated, hemispherical acetabular component without cement in a total hip arthroplasty in patients who have a acetabular dysplasia
J Bone Joint Surg Am
(1999) - et al.
Functional results of hip arthroplasty with acrylic prosthesis
J Bone Joint Surg Am
(1954)
Cited by (52)
Total hip arthroplasty for patients with Crowe type IV developmental dysplasia of the hip: Ten years results
2017, International Journal of SurgeryTapered stems one-third proximally coated have higher complication rates than cylindrical two-third coated stems in patients with high hip dislocation undergoing total hip arthroplasty with step-cut shortening osteotomy
2017, Orthopaedics and Traumatology: Surgery and ResearchTotal hip arthroplasty in the developmental dysplasia of the hip using transverse subtrochanteric osteotomy
2016, Journal of OrthopaedicsCitation Excerpt :Percutaneous adductor tenotomy was applied when hip abduction limitation was determined. Femoral shortening can be achieved through proximal, subtrochanteric or distal osteotomies.4,6,7,25,9,28,29 Most authors in the literature discuss the superiority and advantages of their own osteotomy techniques.
Biomechanical Comparison of 2 Different Femoral Stems in the Shortening Osteotomy of the High-Riding Hip
2016, Journal of Arthroplasty
No benefits or funds were received in support of the study.