Cementless total hip arthroplasty for severely dislocated hips previously treated with Schanz osteotomy of the proximal femur

Akman, Yunus Emre; Yavuz, Umut; Çetinkaya, Engin; Gur, Volkan; Gül, Murat; Demir, Bilal

doi:10.1007/s00402-018-2879-z

Cited by 6 publications

(12 citation statements)

References 27 publications

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“…Concerning the second research question, two studies [1,21], both retrospective case series, did not detail the survivorship of the implants; 13 others did, including one that directly compared the outcomes in cemented versus cementless stems [11].…”

Section: Search Resultsmentioning

confidence: 99%

“…Concerning the third research question, timing of hardware removal was described in five studies [1,5,8,23,27], three historically controlled and two case series. Two studies (Nagi et al [19] and Iwase et al [11]) reported difficulties with hardware removal without specifying its timing; the other nine studies included in our systematic review could not be used to answer the third research question because they were silent on the issue of timing or difficulties associated with hardware removal.…”

Section: Search Resultsmentioning

confidence: 99%

“…All these cases eventually resolved. Timing of palsy resolution was described in only one paper [1], where the patients healed 7 months after surgery. Overall, the proportion of hips with intraoperative complications ranged from 0% to 16.7% (Table 3).…”

Section: Complicationsmentioning

confidence: 99%

“…Questions/purposes In this systematic review, we asked: (1) What are the most common complications after THA in patients who have undergone femoral osteotomy, and how frequently do those complications occur? (2) What is the survival of THA after previous femoral osteotomy?…”

mentioning

confidence: 99%

“…Methods A systematic review was carried out on PubMed, the Cochrane Systematic Reviews Database, Scopus, and Embase databases with the following keywords: "THA", "total hip arthroplasty", and "total hip replacement" combined with at least one of "femoral osteotomy" or "intertrochanteric osteotomy" to achieve the maximum sensitivity of the search strategy. Identified studies were included if they met the following criteria: (1) reported data on THAs performed after femoral osteotomy; (2) recorded THA followup; (3) patients who underwent THA after femoral osteotomy constituted either the experimental group or a control group; (4) described the surgical and clinical complications and survivorship of the THA. The database search retrieved 383 studies, on which we performed a primary evaluation.…”

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confidence: 99%

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What Is the Impact of a Previous Femoral Osteotomy on THA? A Systematic Review

Gallazzi

Morelli

Peretti

et al. 2019

Clin Orthop Relat Res

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Background Femoral osteotomies have been widely used to treat a wide range of developmental and degenerative hip diseases. For this purpose, different types of proximal femur osteotomies were developed: at the neck as well as at the trochanteric, intertrochanteric, or subtrochanteric levels. Few studies have evaluated the impact of a previous femoral osteotomy on a THA; thus, whether and how a previous femoral osteotomy affects the outcome of THA remains controversial. Each author certifies that neither he or she, nor any member of his or her immediate family, has funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Clinical Orthopaedics and Related Research® neither advocates nor endorses the use of any treatment, drug, or device. Readers are encouraged to always seek additional information, including FDA approval status, of any drug or device before clinical use. Each author certifies that his or her institution approved the reporting of this investigation and that all investigations were conducted in conformity with ethical principles of research.

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Section: Search Resultsmentioning

confidence: 99%

Section: Search Resultsmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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What Is the Impact of a Previous Femoral Osteotomy on THA? A Systematic Review

Gallazzi

Morelli

Peretti

et al. 2019

Clin Orthop Relat Res

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Total hip arthroplasty with femoral osteotomy and modular prosthesis for proximal femoral deformity

Deng¹,

Li²,

Qu³

et al. 2019

J Orthop Surg Res

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Background Severe anatomical abnormalities exist in proximal femoral deformities (PFDs). Total hip arthroplasty (THA) is associated with drawbacks such as high surgical complexity, long operation time, requirement for high surgical skills, high incidences of postoperative complications, and poor efficacy. Objective This study aimed to investigate the short-term efficacy of THA with femoral osteotomy and modular prosthesis implantation for femoral fixation and reconstruction in patients with PFD. Methods A total of 15 patients (15 hips) with rotational PFD treated with THA with femoral osteotomy and modular prosthesis between August 2012 and September 2014 were included. There were 10 male (10 hips) and 5 female (5 hips) patients. Preoperative limb shortening, intraoperative osteotomy length, and postoperative limb length were recorded. The Harris hip score was adopted for assessing the clinical results. Postoperative radiography was performed to observe the prosthesis position, as well as the presence or absence of abnormalities such as osteolysis, loosening, and subsidence of the prosthesis. Results All 15 patients were followed up postoperatively, with a mean follow-up duration of 62.5 (range 20–85) months. The postoperative limb-length discrepancy (1.0 ± 0.5 cm) was significantly less than the preoperative discrepancy (3.2 ± 1.2 cm) ( t = − 2.501, P = 0.002). The Harris hip score significantly improved from a mean of 47.2 ± 9.9 points preoperatively to 89.7 ± 3.9 points during the last follow-up visit ( t = 21.31, P = 0.001). Immediate postoperative radiographs showed restoration of limb alignment after femoral osteotomy, excellent initial press-fit fixation of the S-ROM prosthesis, and good canal filling. According to Engh’s criteria, all 15 hips were graded as ingrown bones. No infection, prosthesis loosening, periprosthetic fracture, or other complications occurred. Conclusion In patients with femoral deformities treated with THA, precise osteotomy, good coaptation of the osteotomy surfaces, and correct choice of modular S-ROM prostheses for femoral reconstruction and fixation remain the key factors for surgical success.

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Locking compression plate fixation of femoral intertrochanteric fractures in patients with preexisting proximal femoral deformity: a retrospective study

Fan

Yin

et al. 2021

J Orthop Surg Res

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Background To investigate the clinical efficacy of locking compression plate fixation for the treatment of femoral intertrochanteric fractures in patients with preexisting proximal femoral deformity. Methods A retrospective analysis was conducted on 37 patients with femoral intertrochanteric fractures combined with preexisting proximal femoral deformity between January 2013 and July 2019. The patients included 24 males and 13 females aged from 23 to 69 years old, with an average age of 47.5 years. The preexisting proximal femoral deformities resulted from poliomyelitis sequela, proximal femoral fibrous dysplasia, malunion and implant failure combined with coxa vara after intramedullary nailing fixation. There were 6 cases of 31-A2.1, 6 cases of 31-A2.2, 20 cases of 31-A3.1, and 5 cases of 31-A3.2, determined based on the AO classification of intertrochanteric fractures. All fractures were managed through open reduction and locking plate fixation. The hip disability and osteoarthritis outcome score (HOOS) was used to assess hip function before injury and at the last postoperative follow-up. The short form 36 (SF-36) Health Survey Questionnaire was used to assess quality of life. Results Thirty-seven patients were followed up for 12 to 27 months (average, 20.7 months). All patients achieved bone healing within 5.1 months on average (range, 3 to 6 months). Postoperative complications included deep vein thrombosis in three patients, bedsores in one and delayed union in one patient. No other complications, such as surgical site infection, fat embolism, nonunion and re-fracture, were presented. There was no significant difference in the HOOS scores and the SF-36 Health Questionnaire outcomes at pre-injury and at the last postoperative follow-up (p > 0.05). Conclusions It is difficult to perform intramedullary fixation of femoral intertrochanteric fractures in patients with preexisting proximal femoral deformity, while locking compression plate fixation is a simple and effective method of treatment.

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Cementless total hip arthroplasty for severely dislocated hips previously treated with Schanz osteotomy of the proximal femur

Abstract: THA for hips previously treated with SO is technically demanding. If careful preoperative planning is performed, successful treatment can be achieved.

Cited by 6 publications

References 27 publications

What Is the Impact of a Previous Femoral Osteotomy on THA? A Systematic Review

What Is the Impact of a Previous Femoral Osteotomy on THA? A Systematic Review

Total hip arthroplasty with femoral osteotomy and modular prosthesis for proximal femoral deformity

Locking compression plate fixation of femoral intertrochanteric fractures in patients with preexisting proximal femoral deformity: a retrospective study

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