An alternative treatment method to restore limb-length discrepancy in osteoarthritis with high congenital hip dislocation.
Arch Orthop Trauma Surg
; 129(12): 1593-9, 2009 Dec.
Article
en En
| MEDLINE
| ID: mdl-19271228
ABSTRACT
AIM:
The purpose of this study was to describe the rationale and to analyse the results of uncemented total hip arthroplasty (THA) in patients with osteoarthritis and congenital dislocation of the hip (CDH) prior to iliofemoral distraction.METHOD:
Twenty hips were followed-up for 5.8 years (1-12 years). First the THA components were implanted after soft tissue release. In the interval, iliofemoral distraction with an external distraction apparatus was conducted. The second surgery consisted of an open reduction. An iliofemoral distraction of 0.8 mm/day was monitored. The treatment time was 86 days (50-210 days). In 61 days (32-94 days) the hip joints were distracted for 51 mm (41-75 mm).RESULT:
The Harris Hip Score increased significantly by 47 points. The SF-36 health score showed a satisfying increase in all patients.CONCLUSION:
In experienced hands this method is a relatively safe procedure for limb-length equalization in patients with severe CDH.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Osteoartritis de la Cadera
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Artroplastia de Reemplazo de Cadera
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Osteogénesis por Distracción
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Luxación Congénita de la Cadera
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Diferencia de Longitud de las Piernas
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
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Adult
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Aged
/
Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Arch Orthop Trauma Surg
Año:
2009
Tipo del documento:
Article
País de afiliación:
Alemania