RETRACTED ARTICLE: Femoral shortening osteotomy in total hip arthroplasty for severe dysplasia: a comparison of two fixation techniques

Çatma, Mehmet Faruk; Ünlü, Serhan; Öztürk, Alper; Aksekili, Atıf M; Ersan, Önder; Ateş, Yalım

doi:10.1007/s00264-016-3144-0

Cited by 20 publications

(11 citation statements)

References 30 publications

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“…Many osteotomy techniques have been reported, such as the oblique, transverse, step‐cut, V‐shaped, and double‐chevron techniques. In this series, we used transverse subtrochanteric shortening osteotomy.…”

Section: Discussionmentioning

confidence: 99%

“…Compared with nonosteotomy techniques, subtrochanteric shortening osteotomy can simplify reduction and ensure correction of the femoral deformity, but it may lead to complications such as dislocation, loosening, osteotomy site nonunion, and instability. Transverse osteotomy, which has a limited bony contact area and lacks inherent rotational stability, is especially vulnerable to these possible complications. To address these concerns, the longitudinally split fragments from the resected cylindric femur bone were placed around the osteotomy site as a structural allograft, fixed with cerclage wires, and augmented by morselized cancellous bone autografts from the resected femoral heads to accelerate bone union of the osteotomy site and enhance rotational stability.…”

Section: Discussionmentioning

confidence: 99%

“…Transverse osteotomy, which has a limited bony contact area and lacks inherent rotational stability, is especially vulnerable to these possible complications. To address these concerns, the longitudinally split fragments from the resected cylindric femur bone were placed around the osteotomy site as a structural allograft, fixed with cerclage wires, and augmented by morselized cancellous bone autografts from the resected femoral heads to accelerate bone union of the osteotomy site and enhance rotational stability. In this series, all hips that had undergone transverse subtrochanteric femoral shortening osteotomy had healed by the time of the follow‐up visit at 1 year, and no nonunion or prostheses loosening was found.…”

Section: Discussionmentioning

confidence: 99%

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Outcomes after Total Hip Arthroplasty Using a Cementless S‐ROM Modular Stem for Patients with High Hip Dislocation Secondary to Hip Pyogenic Arthritis

Yang

Wang

et al. 2019

Orthopaedic Surgery

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Objective To evaluate the midterm results of the cementless S‐ROM modular femoral stem used with subtrochanteric transverse shortening osteotomy for the treatment of high hip dislocation secondary to hip pyogenic arthritis. Methods We retrospectively reviewed the data of 49 patients (49 hips) with an average infection quiescent period of 37.4 years who underwent cementless total hip arthroplasty (THA) with simultaneous subtrochanteric transverse shortening osteotomy from July 2008 to June 2012. There were 23 men and 26 women with a mean age of 44.3 years at the time of surgery. The following clinical outcomes were evaluated: the Western Ontario and McMaster Universities Arthritis Index (WOMAC) score, Harris hip score (HSS), modified Merle d'Aubigne‐Postel hip (MAP) score, low back pain visual analog scale score, 12‐item short‐form health survey questionnaire score, limp, and Trendelenburg sign. Radiographic outcomes and complications were also evaluated. Results The mean follow‐up period was 8.7 years (range, 5.5–10 years). No infection recurrence was observed after THA. The average HSS significantly improved from 45.0 to 84.8. The WOMAC score improved from 70.1 ± 3.5 (range, 65–76) to 43.1 ± 13.4 (range, 21–67). The modified MAP score improved from 5.9 ± 1.9 (range, 3–9) to 14.3 ± 2.4 (range, 11–18). The low back pain visual analog scale score, 12‐item short‐form health survey questionnaire score, limp, and Trendelenburg sign also improved significantly. The average limb length discrepancy decreased from 39.6 mm (range, 30–55 mm) to 7.2 mm (range, 0–22 mm). Two patients had temporary sciatic nerve paralysis but recovered within 6 months without any functional defects; one had an intraoperative fracture fixed by cerclage wires. One hip required revision surgery because of femoral stem aseptic loosening. Conclusions The cementless S‐ROM modular femoral stem used with subtrochanteric transverse shortening osteotomy is safe and effective for high hip dislocation secondary to pyogenic arthritis and provides satisfactory midterm results. Significant improvements in clinical function were observed, as were high rates of stable fixation of the cementless implant, restoration of more normal limb lengths, and a low incidence of complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Outcomes after Total Hip Arthroplasty Using a Cementless S‐ROM Modular Stem for Patients with High Hip Dislocation Secondary to Hip Pyogenic Arthritis

Yang

Wang

et al. 2019

Orthopaedic Surgery

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“…Compared to these osteotomies, transverse osteotomy, which was performed in our series, has some advantages such as technical simplicity in terms of the osteotomy technique, adjusting the anteversion angle and minimal periosteal damage at the osteotomy site, and preserving the proximal femoral metaphysis [27] , [28] . However, transverse subtrochanteric shortening osteotomy has several potential complications such as osteotomy site nonunion and instability due to limited bony contact area and lack of inherent rotational stability [6] , [29] . Reikerås et al [30] reported that osteotomy site nonunions are caused by insufficient rotational stability of THA associated with transverse osteotomy.…”

Section: Discussionmentioning

confidence: 99%

Total hip arthroplasty with rectangular stems and subtrochanteric transverse shortening osteotomy in Crowe type IV hips: a retrospective study

et al. 2019

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Background The complexity of femoral and acetabular anatomy and restoring anatomic center of hip rotation in Crowe type IV developmental dysplasia of the hip (DDH) complicates standard reconstruction. The aim of this study is to evaluate surgical techniques and clinical outcomes of subtrochanteric transverse shortening osteotomy with the use of cementless rectangular cross-section femoral implants in Crowe IV dysplastic hips. Methods A total of 26 hips of 25 consecutive patients with Crowe type IV DDH who underwent cementless total hip arthroplasty with subtrochanteric femoral transverse shortening osteotomy were retrospectively analyzed. The Harris Hip Score, Visual Analog Scale-pain, leg length discrepancy, and vertical and lateral migration of hip rotation center were recorded. Results Mean age, follow-up, and time of union were 41 ± 9.7 years, 7.1 ± 1.2 years, and 3.7 ± 1.1 months, respectively. Mean Harris Hip Score significantly improved from 38 ± 5.7 to 86 ± 6.1 points postoperatively ( P < .01). Mean leg length discrepancy and Visual Analog Scale significantly decreased from 4.3 ± 1.3 to 1.2 ± 0.6 cm, and 6.4 ± 1.2 to 1.8 ± 0.8 points, respectively ( P < .01). One female patient had a dislocation due to acetabular liner wear, which was managed by liner and head change. One patient had Sudeck’s atrophy, while another had pain on the lateral thigh, both of which were resolved with conservative management. Conclusions Combined transverse subtrochanteric femoral osteotomy and cementless total hip arthroplasty with rectangular cross-section femoral implants is technically demanding, effective, and safe in femoral shortening for treatment of Crowe type IV DDH.

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“…[ 15 ] Screw-plate fixation is a priority selection due to avoiding borehole in non-medullated bone, but some limitation still disturbs surgeons, such as refracture, accumulative stress to newborn site. [ 4 ] Even a later retrospective study [ 16 ] illuminated that fixation with a cable leads to an earlier union than that with plate and screw in the osteotomy. In this case, we utilized a locked plate system (LISS) to enhance stability in the osteopetrotic patient.…”

Section: Treatment Of Fracture In Osteopetrosismentioning

confidence: 99%

Successful open reduction and internal fixation for displaced femoral fracture in a patient with osteopetrosis

Huang

Pan

et al. 2017

Medicine

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Rationale:Osteopetrosis is a rare disease that predominantly occurs in descendants of inbreeding families. In the case of fractures happen in patients with osteopetrosis, the choice between operative or conservative treatment is still controversial. Open reduction and internal fixation (ORIF) is a conventional treatment for fractures, and it possesses more applicability than conservative treatment. During this surgical treatment, ensure that bone union in the right way is pivotal to success and simultaneously prevents refracture and displacement after the operation. Herein, we present a case of femoral fracture of a patient with osteopetrosis via open reduction and internal fixation. To illustrate successful factors during the treatment process, we discuss experience combined with literature review following case report.Patient concerns:A 67-year-old man who has diagnosed with osteopetrosis over 20 years ago suffered from pain in the left hip last for more than 1 month and he was incapable of walking recently. Before this incident, he had sustained 4 femoral fractures that treated insufficiently by open reduction surgery.Diagnosis:Physical, radiological, and biological examinations indicated a femoral subtrochanteric fracture that was overlapping displacement between fracture ends.Interventions and outcomes:Treated with surgery by open reduction with internal fixation and osteotomy, the fracture united in 12 months, and he returned to walk with full weight bearing, during which no complication occurred.Lessons:Open reduction and internal fixation is also suitable for the patient with osteopetrosis, and they have similar union ability to the normal. To guarantee successful treatment, specific strategies of operation and rehabilitation program are necessary.

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RETRACTED ARTICLE: Femoral shortening osteotomy in total hip arthroplasty for severe dysplasia: a comparison of two fixation techniques

Abstract: Fixation of the removed femoral segment with a cable provided adequate rotational stability and decreased the operating time, leading to early union at the osteotomy site.

Cited by 20 publications

References 30 publications

Outcomes after Total Hip Arthroplasty Using a Cementless S‐ROM Modular Stem for Patients with High Hip Dislocation Secondary to Hip Pyogenic Arthritis

Outcomes after Total Hip Arthroplasty Using a Cementless S‐ROM Modular Stem for Patients with High Hip Dislocation Secondary to Hip Pyogenic Arthritis

Total hip arthroplasty with rectangular stems and subtrochanteric transverse shortening osteotomy in Crowe type IV hips: a retrospective study

Successful open reduction and internal fixation for displaced femoral fracture in a patient with osteopetrosis

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