The evaluation of results of periprostetic fracture treatment in patients with hip osteoarthritis caused by residual dysplasia of the hip joint with dislocation of type III and IV according to the Crowe's classification

Sionek, Andrzej; Czwojdziński, Adam; Czubak, Jarosław; Ropielewski, Aleksander

doi:10.26226/morressier.579b42c3d462b80290b4cbab

2016

DOI: 10.26226/morressier.579b42c3d462b80290b4cbab

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The evaluation of results of periprostetic fracture treatment in patients with hip osteoarthritis caused by residual dysplasia of the hip joint with dislocation of type III and IV according to the Crowe's classification

Andrzej Sionek¹,

Adam Czwojdziński²,

Jarosław Czubak³

et al.

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“…report, that using conical stem in treating dysplstic coxarthrosis offer better possibility of correcting the torsion disorders of the proximal end of femur and reduces the risk of periprosthetic fracture(31,32). Desteli et al reported to a significantly higher rate of complications in the case of arthroplasty in severe cases of Crove III or IV hip dysplasia, and propose a simultaneous shortening of the subtrochanteric osteotomy of the femur(26).…”

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Assessment of the endoprosthesis offset in a dysplastic coxarthrosis

Kołodziejczyk¹,

Czwojdziński²,

Sionek³

et al. 2022

Acta Orthop Belg

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Incorrectly developed acetabulum and subluxated hip joint may cause many problems for proper implantation of endoprosthesis. The aim of this work is to assess the radiological results of offset restoration and selection of endoprosthesis implant in a dysplastic hip joint. The study group consisted of patients who had a surgery in the period between 2016 and 2018. All of them had a cementless total hip endoprosthesis. The group consisted of 91 patients (96 hip joints), with an average age of 42 years (31-47 years). 55 left and 41 right hip joints. 70 females and 21 males. The control group consisted of patients who were not diagnosed with hip joint dysplasia. The control group consisted of 70 patients (70 hip joints), with an average age of 35 years (19-55 years). 53 females and 17 males. The radiographic assessment included the measuring of medialization and distalization which describe the offset of hip joint. The joint decentration was classified according to Crowe. Based on radiographic measurements we have achieved statistically significant (p<0.05) changes in medialization and distaliza- tion parameters. We have not noticed a statistically significant difference for medialization parameter (p=0.8259) after a surgery when compared to the control group. For all patients we have achieved a restoration of correct offset in the horizontal plane. The main idea behind endoprosthesis in a dysplastic coxarthosis is the implantation of endoprosthesis cup in an anatomically correct location. Small screw- in cup and conical stem offer great possibility of restoring correct offset of a dysplastic hip joint.

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confidence: 99%

Assessment of the endoprosthesis offset in a dysplastic coxarthrosis

Kołodziejczyk¹,

Czwojdziński²,

Sionek³

et al. 2022

Acta Orthop Belg

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The evaluation of results of periprostetic fracture treatment in patients with hip osteoarthritis caused by residual dysplasia of the hip joint with dislocation of type III and IV according to the Crowe's classification

Cited by 1 publication

References 0 publications

Assessment of the endoprosthesis offset in a dysplastic coxarthrosis

Assessment of the endoprosthesis offset in a dysplastic coxarthrosis

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