Total hip arthroplasty for Crowe type-IV development dysplasia of hip in adults / 中华外科杂志
Chinese Journal of Surgery
; (12): 1403-1406, 2006.
Article
ي Zh
| WPRIM
| ID: wpr-288583
المكتبة المسؤولة:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To determine the operation procedure of total hip arthroplasty (THA) for Crowe type-IV developmental dysplasia of hip and its relationship with nerve injury.</p><p><b>METHODS</b>A consecutive series of 39 THAs was performed for Crowe type-IV developmental dysplasia of hip in 35 patients (all female). The mean age of the patients at the time of surgery was 46 years (range 36 - 56 years). Thirty-five hips in 31 patients were followed up. The average follow-up period of the whole series was 4 years (range 1 - 8 years). All procedures were carried out through a lateral-posterior approach. In 33 of 35 hips, the cup was inserted in the "true" acetabulum. All the prostheses used were cementless, except for 5 cemented femoral stems in 5 patients. Each patient was evaluated clinically and by radiographs before the operation and during the follow-up period, according to the Harris hip score (HHS).</p><p><b>RESULTS</b>None of the cups and stems were revised for aseptic loosening, dislocation or infection during the follow-up period. The mean preoperative HHS was 43 compared with the postoperative HHS of 87. The mean amount of postoperative leg lengthening was 5 cm (range 4 - 6 cm).</p><p><b>CONCLUSIONS</b>The reconstruction of the hip at the level of the "true" acetabulum through a lateral-posterior approach is a safe and effective procedure of THA for Crowe type-IV developmental dysplasia of hip in adults. Acute leg lengthening of less than 6 cm could not cause nerve injury.</p>
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
General Surgery
/
Follow-Up Studies
/
Treatment Outcome
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Arthroplasty, Replacement, Hip
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Hip Dislocation, Congenital
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Methods
نوع الدراسة:
Observational_studies
/
Prognostic_studies
المحددات:
Adult
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Female
/
Humans
اللغة:
Zh
مجلة:
Chinese Journal of Surgery
السنة:
2006
نوع:
Article