The Peculiarities of Hip Arthroplasty Under the Conditions of Congenital Hip Dislocation in Adul Ts

Poluliakh, Mykhaylo; Gerasimenko, S. I.; Полулях, Д М

doi:10.15674/0030-59872016110-14

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Зрештою понад 20 % пацієнтів, за тяжкої дисплазії, стає необхідним тотальне ендопротезування кульшового суглоба (ТЕП КС), іноді вже в молодому віці [2,4]. Проте, за даними деяких досліджень, ризик отримання незадовільного результату хірургічного лікування у випадках зміщення головки стегнової кістки, які за вираженістю відповідають ступеню III-IV за Crowe [5], майже вдвічі вищий, ніж у разі стандартного ендопротезування кульшового суглоба, що свідчить про недостатню висвітленість питань тактики лікування пацієнтів із ДКА [6][7][8].…”

Section: вступunclassified

“…Патоморфологічні зміни тканин кульшового суглоба та прилеглих м'язів хворих із віддаленими наслідками вродженої дисплазії кульшового суглоба рідше стають предметом досліджень анатомів, рентгенологів і патологів [3,4,[9][10][11], ніж зміни тканин суглобів за умов ревматоїдного артриту або анкілозивного спондиліту [12,13]. Утім характерні кількісно-морфологічні зміни тканин проксимального епіметафіза стегнової кістки в разі ДКА, імовірно, можуть мати топографічні, якісні та кількісні відмінності від патологічних змін, які спостерігають у тканинах кульшового суглоба за умов інших захворювань, що слід ураховувати під час діагностичних і лікувальних заходів [8,11].…”

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Pathomorphology of the femoral head lesion and some clinical and morphological dependences in patients with dysplastic coxarthrosis

Hryhorovskyi¹,

Babko²,

Guzhevsky³

et al. 2017

ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS

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Pathomorphology of the femoral head lesion and some clinical and morphological dependences in patients with dysplastic coxarthrosis

Hryhorovskyi¹,

Babko²,

Guzhevsky³

et al. 2017

ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS

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Features of Tha in Patients With High Congenital Hip Dislocation

Камшилов

Triapichnikov

Чегуров

et al. 2017

Traumatology and Orthopedics of Russia

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There are a fair number of papers presenting the outcomes of total hip arthroplasty with shortening subtrochanteric osteotomy in neglected hip dislocation. In most of them the authors used long modular stems or Wagner stems as a femoral component. The reports describing the outcomes of such procedures with standard femoral stems are rather rare.The purpose of this study was to evaluate short-term and medium-term outcomes of total hip arthroplasty with standard femoral stems and shortening subtrochanteric osteotomy for treatment of high hip dislocation.Materials and methods. From 2010 to 2016 the authors performed 18 hip arthroplasties with shortening subtrochanteric osteotomy in 16 patients with high hip dislocation. All patients were clinically evaluated using Harris Hip Score and radiography prior to and after the surgery.Results. The mean Harris Hip Score significantly improved compared to preoperative values from 39.7±1.4 to 84.7±1.6. At mean follow-up of 24±2.4 mounts the authors observed 2 case of nonunion at osteotomy site and 1 case of transient nerve palsy. Revision surgery was performed in 2 patients due to nonunion. The mean limb lengthening was 3.65±0.21 cm.Conclusion. Our data demonstrated that total hip arthroplasty with subtrochanteric osteotomy is an effective technique for treatment of Crowe type III-IV congenital hipdislocation with high rate of successful fixation on the typical femoral stem, healing of osteotomy site and satisfactory shortand medium-term clinical outcomes. The non-modular tapered stem provides sufficient stability in distal and proximal parts of the femur. The use of standard tapered stem allows to achieve good healing rates of the osteotomy.

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Some Aspects of Total Hip Replacement with Subtrochanteric Shortening Osteotomy in Patients with Congenital Hip Dislocation (Review)

Triapichnikov

Камшилов

Чегуров

et al. 2019

Traumatology and Orthopedics of Russia

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Total hip replacement (THR) in patients with a high congenital dislocation of the hip (Crowe type IV dysplasia in Crowe classification) is a technically difficult operation, associated with a high risk of complications. The most common variations of THRs used to restore the true center of rotation of the hip are subtrochanteric shortening osteotomy and proximal shortening osteotomy using the Paavilainen technique. Numerous publications refer to the technique and outcomes of subtrochanteric osteotomy, but fundamental differences of opinion persist on a number of points relating to the topic.The objective of the study is to analyze the publications on the treatment for crowe type IV hip dislocations using total replacement of the hip joint (HJ) with subtrochanteric shortening osteotomy.The hypothesis of the study was as follows: the method of fixation of the femoral component, the type of osteotomy and the design features of the implant (philosophy) are the factors that determine the effectiveness of the operation. The electronic databases eLIBRARY and PubMed were searched for publications containing keywords in Russian or English: high dislocation of the hip, total replacement of the Hj, shortening subtrochanteric osteotomy. As a result of the study, the proposed hypothesis was partially confirmed. There were only minor differences in the overall incidence of complications and the survivorship of implants when using different types of cementless stems. The incidence of non-unions after the installation of cemented femoral components was higher than with the implantation of cementless. We did not find convincing evidence of the advantage of the step-cut, V-shaped and oblique osteotomies compared with the transverse osteotomy. Typical complications for such operations were the nerve injuries, intraoperative hip fractures, dislocations and non-unions of the femur at the osteotomy site.

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The Peculiarities of Hip Arthroplasty Under the Conditions of Congenital Hip Dislocation in Adul Ts

Cited by 3 publications

References 7 publications

Pathomorphology of the femoral head lesion and some clinical and morphological dependences in patients with dysplastic coxarthrosis

Pathomorphology of the femoral head lesion and some clinical and morphological dependences in patients with dysplastic coxarthrosis

Features of Tha in Patients With High Congenital Hip Dislocation

Some Aspects of Total Hip Replacement with Subtrochanteric Shortening Osteotomy in Patients with Congenital Hip Dislocation (Review)

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