Zusammenfassung
Die hohe Hüftluxation (Typ IV nach Crowe) als schwerster Ausprägungsgrad der Dysplasie ist durch eine Reihe anatomischer Anomalien gegenüber der Normalsituation gekennzeichnet. Dennoch ist es das Ziel der endoprothetischen Versorgung, die Implantation der Pfannenkomponente im originären azetabulären Rotationszentrum durchzuführen. Femoral ist aufgrund des dislozierten, meist verlängerten Femurs eine simultane femorale Verkürzungsosteotomie zur Prävention neurovaskulärer Folgeschäden notwendig.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Empfohlene Literatur
Argenson JN, Flecher X, Parratte S, Aubaniac JM (2007) Anatomy of the dysplastic hip and consequences for total hip arthroplasty. Clin Orthop Relat Res 465:40–45
Baz AB, Senol V, Akalin S, Kose O, Guler F, Turan A (2012) Treatment of high hip dislocation with a cementless stem combined with a shortening osteotomy. Arch Orthop Trauma Surg 132(10):1481–1486
Becker DA, Gustilo RB (1995) Double-chevron subtrochanteric shortening derotational femoral osteotomy combined with total hip arthroplasty for the treatment of complete congenital dislocation of the hip in the adult. Preliminary report and description of a new surgical technique. J Arthroplasty 10(3):313–318
Biant LC, Bruce WJ, Assini JB, Walker PM, Walsh WR (2009) Primary total hip arthroplasty in severe developmental dysplasia of the hip. Ten-year results using a cementless modular stem. J Arthroplasty 24(1):27–32
Cameron HU, Eren OT, Solomon M (1998) Nerve injury in the prosthetic management of the dysplastic hip. Orthopedics 21(9):980–981
Charity JA, Tsiridis E, Sheeraz A, Howell JR, Hubble MJ, Timperley AJ, Gie GA (2011) Treatment of Crowe IV high hip dysplasia with total hip replacement using the Exeter stem and shortening derotational subtrochanteric osteotomy. J Bone Joint Surg Br 93(1):34–38
Crowe JF, Mani VJ, Ranawat CS (1979) Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg Am 61(1):15–23
Decking J, Decking R, Schoellner C, Fuerderer S, Rompe JD, Eckardt A (2003) Cementless total hip replacement with subtrochanteric femoral shortening for severe developmental dysplasia of the hip. Arch Orthop Trauma Surg 123(7):357–362
Desteli EE, Imren Y, Tan E, Erdoğan M, Özcan H (2015) Clinical results of cementless total hip arthroplasty with shortening osteotomy for high dislocation with developmental dysplasia. Acta Orthop Belg 81(1):30–35
Eskelinen A, Remes V, Ylinen P, Helenius I, Tallroth K, Paavilainen T (2009) Cementless total hip arthroplasty in patients with severely dysplastic hips and a previous Schanz osteotomy of the femur: techniques, pitfalls, and long-term outcome. Acta Orthop 80(3):263–269
Faldini C, Nanni M, Leonetti D, Miscione MT, Acri F, Giannini S (2011) Total hip arthroplasty in developmental hip dysplasia using cementless tapered stem. Results after a minimum 10-year follow-up. Hip Int 21(4):415–420
Hasegawa Y, Iwase T, Kanoh T, Seki T, Matsuoka A (2012) Total hip arthroplasty for Crowe type IV developmental dysplasia. J Arthroplasty 27(9):1629–1635
Hartofilakidis G, Stamos K, Karachalios T, Ioannidis TT, Zacharakis N (1996) Congenital hip disease in adults. Classification of acetabular deficiencies and operative treatment with acetabuloplasty combined with total hip arthroplasty. J Bone Joint Surg Am 78(5):683–692
Hartofilakidis G, Karachalios T, Georgiades G, Kourlaba G (2011) Total hip arthroplasty in patients with high dislocation: a concise follow-up, at a minimum of fifteen years, of previous reports. J Bone Joint Surg Am 93(17):1614–1618
Hartofilakidis G, Babis GC, Lampropoulou-Adamidou K, Vlamis J (2013) Results of total hip arthroplasty differ in subtypes of high dislocation. Clin Orthop Relat Res 471(9):2972–2979
Krych AJ, Howard JL, Trousdale RT, Cabanela ME, Berry DJ (2010) Total hip arthroplasty with shortening subtrochanteric osteotomy in Crowe type-IV developmental dysplasia: surgical technique. J Bone Joint Surg Am 92(Suppl 1 Pt 2):176–187
Nagoya S, Kaya M, Sasaki M, Tateda K, Kosukegawa I, Yamashita T (2009) Cementless total hip replacement with subtrochanteric femoral shortening for severe developmental dysplasia of the hip. J Bone Joint Surg Br 91(9):1142–1147
Ollivier M, Abdel MP, Krych AJ, Trousdale RT, Berry DJ (2016) Long-term results of total hip arthroplasty with shortening subtrochanteric osteotomy in Crowe IV developmental dysplasia. J Arthroplasty 31(8):1756–1760
Park MS, Kim KH, Jeong WC (2007) Transverse subtrochanteric shortening osteotomy in primary total hip arthroplasty for patients with severe hip developmental dysplasia. J Arthroplasty 22(7):1031–1036
Perka C, Fischer U, Taylor WR, Matziolis G (2004) Developmental hip dysplasia treated with total hip arthroplasty with a straight stem and a threaded cup. J Bone Joint Surg Am 86-A(2):312–319
Rollo G, Solarino G, Vicenti G, Picca G, Carrozzo M, Moretti B (2017) Subtrochanteric femoral shortening osteotomy combined with cementless total hip replacement for Crowe type IV developmental dysplasia: a retrospective study. J Orthop Traumatol 18(4):407–413
Sofu H, Kockara N, Gursu S, Issin A, Oner A, Sahin V (2015) Transverse subtrochanteric shortening osteotomy during cementless total hip arthroplasty in Crowe type-III or IV developmental dysplasia. J Arthroplasty 30(6):1019–1023
Wang D, Li LL, Wang HY, Pei FX, Zhou ZK (2017) Long-term results of cementless total hip arthroplasty with subtrochanteric shortening osteotomy in Crowe type IV developmental dysplasia. J Arthroplasty. 32(4):1211–1219
Zagra L, Bianchi L, Mondini A, Ceroni RG (2015) Oblique femoral shortening osteotomy in total hip arthroplasty for high dislocation in patients with hip dysplasia. Int Orthop 39(9):1797–1802
Zhu J, Shen C, Chen X, Cui Y, Peng J, Cai G (2015) Total hip arthroplasty with a non-modular conical stem and transverse subtrochanteric osteotomy in treatment of high dislocated hips. J Arthroplasty 30(4):611–614
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature
About this chapter
Cite this chapter
Hardt, S., Perka, C. (2021). Hüftendoprothese mit Verkürzungsosteotomie bei hoher Hüftluxation. In: Günther, KP., Schaser, KD. (eds) Hüfte. Meistertechniken in der operativen Orthopädie und Unfallchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-62085-4_7
Download citation
DOI: https://doi.org/10.1007/978-3-662-62085-4_7
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-62084-7
Online ISBN: 978-3-662-62085-4
eBook Packages: Medicine (German Language)