Analysis of the Gait of Adults Who Had Residua of Congenital Dysplasia of the Hip*

Romanò, Carlo Luca; Frigo, C.; Randelli, G; Pedotti, A.

doi:10.2106/00004623-199610000-00003

Cited by 71 publications

(93 citation statements)

References 12 publications

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“…In the patients with dysplasia and poor Harris scores in Romano et al's report [13], the affected side pelvis was higher than that of the unaffected side. In all our Group 2 subjects (complete dislocation without pain), the affected side pelvis remained lower through the gait cycle.…”

Section: Discussionmentioning

confidence: 78%

Gait analysis after total hip arthroplasty with leg‐length equalization in women with unilateral congenital complete dislocation of the hip – comparison with untreated patients

Lai

Lin

Jou

et al. 2001

Journal Orthopaedic Research

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Patients with Crowe Type‐IV congenital dislocation of the hip (CDH) show significant clinical improvement after total hip arthroplasty (THA) because this surgery greatly reduces pain. Concomitant leg‐length equalization in unilateral patients — a controversial procedure — theoretically should significantly improve these patients' ability to walk efficiently and comfortably. To understand the impact of leg‐length equalization on these patients, we compared their gait parameters with those of untreated patients without pain but with leg‐length discrepancy. Using a motion analysis system, three force platforms and computer calculation, the gait parameters during level walking of 22 women with unilateral Crowe Type‐IV CDH were studied at an average of 58 months (27–98 months) following a successful cementless THA. The socket was placed in the best bone stock, which was close to the level of the true acetabulum. The leg‐length discrepancy was equalized to within 2 cm in all patients. The Harris hip score averaged 94.8 (range, 88–100) at the time of the study. Nine women with untreated unilateral Crowe Type‐IV CDH without major pain but with an average leg‐length discrepancy of 4.7 cm (range, 2.5–6 cm) were also studied for comparison. The treated subjects (Group 1; THA and leg‐length equalization) walked faster and had gait parameters with better bilateral symmetry than the untreated subjects (Group 2). We concluded that leg‐length equalization in addition to THA in patients with unilateral Crowe Type‐IV CDH significantly improves gait symmetry and efficiency. © 2001 Orthopaedic Research Society. Published by Elsevier Science Ltd. All rights reserved.

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Section: Discussionmentioning

confidence: 78%

Gait analysis after total hip arthroplasty with leg‐length equalization in women with unilateral congenital complete dislocation of the hip – comparison with untreated patients

Lai

Lin

Jou

et al. 2001

Journal Orthopaedic Research

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“…Previous reports have noted patients with hip dysplasia have increased flexion and reduced hip flexor moment [10,19,28,30]. Pedersen et al [27] initially reported this finding in a group of adult women with hip dysplasia after treatment with a PAO.…”

Section: Discussionmentioning

confidence: 90%

“…Gait analysis in adult patients with dysplasia has shown the decreased acetabular weightbearing zone and the lateralized joint center affect the joint contact pressures [1,10,24,27,28,30]. There are no studies, however, that have specifically assessed the kinematics and kinetics of the hip in adolescent and young adult patients undergoing a PAO who have been treated with a previous pelvic osteotomy.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Adolescents with a Periacetabular Osteotomy After Previous Pelvic Surgery

Rocha

Sucato

Tulchin

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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“…*significant difference. proprioceptive input were considered the most important factors causing such gait deviations in these patients [19].…”

Section: Discussionmentioning

confidence: 96%

“…Numerous studies report quantitative gait analysis of untreated or treated patients with DDH [17][18][19]. Many gait alterations correlating with the Harris hip score [9] were observed in a study of 21 adult patients with untreated symptomatic residual DDH.…”

Section: Discussionmentioning

confidence: 99%

No Detectable Major Changes in Gait Analysis After Soft Tissue Release in DDH

Ömeroğlu

Yavuzer

Biçimoğlu

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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Analysis of the Gait of Adults Who Had Residua of Congenital Dysplasia of the Hip*

Cited by 71 publications

References 12 publications

Gait analysis after total hip arthroplasty with leg‐length equalization in women with unilateral congenital complete dislocation of the hip – comparison with untreated patients

Gait analysis after total hip arthroplasty with leg‐length equalization in women with unilateral congenital complete dislocation of the hip – comparison with untreated patients

Treatment of Adolescents with a Periacetabular Osteotomy After Previous Pelvic Surgery

No Detectable Major Changes in Gait Analysis After Soft Tissue Release in DDH

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