Transverse Subtrochanteric Shortening Osteotomy During Cementless Total Hip Arthroplasty in Crowe Type-III or IV Developmental Dysplasia

被引：41
|
作者：
Sofu, Hakan [1 ]
Kockara, Nizamettin [1 ]
Gursu, Sarper [2 ]
Issin, Ahmet [1 ]
Oner, Ali [3 ]
Sahin, Vedat [1 ]
机构：
[1] Erzincan Univ, Fac Med, TR-24030 Erzincan, Turkey
[2] Baltalimani Bone & Joint Dis Hosp, Istanbul, Turkey
[3] Mengucekgazi Educ & Res Hosp, Erzincan, Turkey
来源：
JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 06期
关键词：
Hip; Arthroplasty; Shortening osteotomy; Developmental dysplasia; Limb length discrepancy; DEROTATIONAL OSTEOTOMY; DISLOCATION; REPLACEMENT;
D O I：
10.1016/j.arth.2015.01.045
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
The purpose of this study was to review the outcomes of transverse subtrochanteric shortening osteotomy during cementless total hip arthroplasty in Crowe Type-III or IV developmental dysplasia. Seventy-three osteotomies were included in our study. Mean follow-up was 61 months. Harris hip score, leg length discrepancy, neurological status, union status of the osteotomy, and femoral component stability were the criteria for evaluation. All complications were noted. The mean Harris hip score improved from 38.6 points to 83.7 points. The mean leg length discrepancy decreased from 56.5 mm to 10.7 at the latest follow-up. The mean union time was 5.2 months. We observed 4 non-unions. Transverse subtrochanteric shortening osteotomy is an effective and reliable method in restoration of a more normal limb. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码：1019 / 1023
页数：5
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