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Femoral shortening and cementless arthroplasty in Crowe type 4 congenital dislocation of the hip.

Abstract：

PURPOSE:In reconstruction of congenital hip dislocation by total hip arthroplasty (THA), positioning of the acetabular component in the true acetabulum is sometimes accompanied by shortening of the femur. Shortening of the femur is of importance for minimising risk of damaging neurovascular structures due to excessive limb lengthening. Furthermore, reduction of the femoral head into the true acetabulum remains challenging without shortening of the femur. METHODS:We performed a consecutive case series of cementless THA with femoral shortening and Crowe type 4 congenital dislocation. All acetabular cups were placed in their original anatomical location. In all cases a proximal diaphyseal step-cut shortening osteotomy was performed and stabilised with two to three titanium cerclage bands. RESULTS:At an average of 60 months follow-up (range 36-96), 12 patients (13 THA) were scored clinically by the Merle D'Aubigne and Harris hip scores. In ten cases good to excellent outcome scores were observed. During the follow-up period no cases of aseptic loosening, nerve palsy, nonunions or dislocations were found. CONCLUSIONS:This technique seems to be an excellent treatment option in the case of Crowe type 4 hips presenting with endstage osteoarthritis.

journal_name

Int Orthop

journal_title

International orthopaedics

authors

Neumann D,Thaler C,Dorn U

doi

10.1007/s00264-011-1293-8

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

499-503

issue

3

eissn

0341-2695

issn

1432-5195

journal_volume

36

pub_type

杂志文章

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