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Technical Considerations

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Congenital Hip Disease in Adults

Abstract

Basic principles for better results of total hip replacement in patients with congenital hip disease, especially those with low and high dislocations, are wide exposure, restoration of the normal centre of rotation and the use of special techniques and implants for the reconstruction of the acetabulum and femur. In this chapter, the authors’ experience in conjunction with the international experience on the subject is presented.

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References

  1. Hartofilakidis G, Stamos K, Karachalios T (1998) Treatment of high dislocation of the hip in adults with total hip arthroplasty. Operative technique and long-term clinical results. J Bone Joint Surg Am 80(4):510–517

    PubMed  CAS  Google Scholar 

  2. Charnley J (1979) Low friction arthroplasty of the hip: theory and practice. Springer, Berlin

    Book  Google Scholar 

  3. Hartofilakidis G, Stamos K, Ioannidis TT (1988) Low friction arthroplasty for old untreated congenital dislocation of the hip. J Bone Joint Surg Br 70(2):182–186

    PubMed  CAS  Google Scholar 

  4. Eftekhar NS (1993) Congenital dysplasia and dislocation. In: Eftekhar NS (ed) Total hip arthroplasty, vol 2. Mosby, St. Louis, pp 905–908

    Google Scholar 

  5. Hartofilakidis G, Babis GC, Georgiades G, Kourlaba G (2011) Trochanteric osteotomy in total hip replacement for congenital hip disease. J Bone Joint Surg Br 93(5):601–607

    Article  PubMed  CAS  Google Scholar 

  6. Amstutz HC, Yao J (1991) Trochanteric non-union. In: Amstutz HC (ed) Hip arthroplasty. Churchill Livingstone, New York, p 457

    Google Scholar 

  7. 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

    PubMed  CAS  Google Scholar 

  8. Karachalios T, Hartofilakidis G, Zacharakis N, Tsekoura M (1993) A 12- to 18-year radiographic follow-up study of Charnley low-friction arthroplasty. The role of the center of rotation. Clin Orthop Relat Res 296:140–147

    PubMed  Google Scholar 

  9. Johnston RC, Brand RA, Crowninshield RD (1979) Reconstruction of the hip. A mathematical approach to determine optimum geometric relationships. J Bone Joint Surg Am 61(5):639–652

    PubMed  CAS  Google Scholar 

  10. Harris WH, Crothers O, Oh I (1977) Total hip replacement and femoral-head bone-grafting for severe acetabular deficiency in adults. J Bone Joint Surg Am 59(6):752–759

    PubMed  CAS  Google Scholar 

  11. Paavilainen T, Hoikka V, Paavolainen P (1993) Cementless total hip arthroplasty for congenitally dislocated or dysplastic hips. Technique for replacement with a straight femoral component. Clin Orthop Relat Res 297:71–81

    PubMed  Google Scholar 

  12. Eftekar NS (1978) Variations in technique and specific considerations. In: Eftekar NS (ed) Principles of total hip arthroplasty. CV Mosby, St. Louis, pp 1–440

    Google Scholar 

  13. Georgiades G, Babis GC, Kourlaba G, Hartofilakidis G (2010) Effect of cementless acetabular component orientation, position, and containment in total hip arthroplasty for congenital hip disease. J Arthroplasty 25(7):1143–1150

    Article  PubMed  Google Scholar 

  14. Devane PA, Bourne RB, Rorabeck CH, Hardie RM, Horne JG (1995) Measurement of polyethylene wear in metal-backed acetabular cups. I. Three-dimensional technique. Clin Orthop Relat Res 319:303–316

    PubMed  Google Scholar 

  15. Karachalios T, Roidis N, Lampropoulou-Adamidou K, Hartofilakidis G (2013) Acetabular reconstruction in patients with low and high dislocation: 20- to 32-year survival of an impaction grafting technique (named cotyloplasty). Bone Joint J 95-B(7):887–892

    Article  PubMed  Google Scholar 

  16. Ioannidis TT, Zacharakis N, Magnissalis EA, Eliades G, Hartofilakidis G (1998) Long-term behaviour of the Charnley offset-bore acetabular cup. J Bone Joint Surg Br 80(1):48–53

    Article  PubMed  CAS  Google Scholar 

  17. Stamos KG, Karachalios T, Papagelopoulos PJ, Xenakis T, Korres DS, Koroneos E, Hartofilakidis G (2000) Long-term mechanical stability of the impacted morselized graft-cement interface in total joint replacement: an experimental study in dogs. Orthopedics 23(8):809–814

    PubMed  CAS  Google Scholar 

  18. Dunn HK, Hess WE (1976) Total hip reconstruction in chronically dislocated hips. J Bone Joint Surg Am 58(6):838–845

    PubMed  CAS  Google Scholar 

  19. Xenakis T, Koukoubis T, Hantes K, Varytimidis S, Soucacos PN (1997) Bone grafting in total hip arthroplasty for insufficient acetabulum. Acta Orthop Scand Suppl 275:33–37

    PubMed  CAS  Google Scholar 

  20. Sanchez-Sotelo J, Berry DJ, Trousdale RT, Cabanela ME (2002) Surgical treatment of developmental dysplasia of the hip in adults: II. Arthroplasty options. J Am Acad Orthop Surg 10(5):334–344

    PubMed  Google Scholar 

  21. Anderson MJ, Harris WH (1999) Total hip arthroplasty with insertion of the acetabular component without cement in hips with total congenital dislocation or marked congenital dysplasia. J Bone Joint Surg Am 81(3):347–354

    PubMed  CAS  Google Scholar 

  22. Somford MP, Bolder SB, Gardeniers JW, Slooff TJ, Schreurs BW (2008) Favorable survival of acetabular reconstruction with bone impaction grafting in dysplastic hips. Clin Orthop Relat Res 466(2):359–365

    Article  PubMed  PubMed Central  Google Scholar 

  23. Zhang H, Huang Y, Zhou YX, Lv M, Jiang ZH (2005) Acetabular medial wall displacement osteotomy in total hip arthroplasty: a technique to optimize the acetabular reconstruction in acetabular dysplasia. J Arthroplasty 20(5):562–567

    Article  PubMed  CAS  Google Scholar 

  24. Dorr LD, Tawakkol S, Moorthy M, Long W, Wan Z (1999) Medial protrusio technique for placement of a porous-coated, hemispherical acetabular component without cement in a total hip arthroplasty in patients who have acetabular dysplasia. J Bone Joint Surg Am 81(1):83–92

    PubMed  CAS  Google Scholar 

  25. Harris WH (1993) Management of the deficient acetabulum using cementless fixation without bone grafting. Orthop Clin North Am 24(4):663–665

    PubMed  CAS  Google Scholar 

  26. Mulroy RD Jr, Harris WH (1990) Failure of acetabular autogenous grafts in total hip arthroplasty. Increasing incidence: a follow-up note. J Bone Joint Surg Am 72(10):1536–1540

    PubMed  Google Scholar 

  27. Goldberg VM, Stevenson S (1993) The biology of bone grafts. Semin Arthroplasty 4(2):58–63

    PubMed  CAS  Google Scholar 

  28. Paavilainen T, Hoikka V, Solonen KA (1990) Cementless total replacement for severely dysplastic or dislocated hips. J Bone Joint Surg Br 72(2):205–211

    PubMed  CAS  Google Scholar 

  29. Pagnano WM, Hansen DA, Shaughnessy WF (1996) Developmental hip dysplasia. In: Morrey BF (ed) Reconstructive surgery of the joints. Churchill Livingstone, New York, pp 1013–1026

    Google Scholar 

  30. Papagelopoulos PJ, Trousdale RT, Lewallen DG (1996) Total hip arthroplasty with femoral osteotomy for proximal femoral deformity. Clin Orthop Relat Res 332:151–162

    Article  PubMed  Google Scholar 

  31. Symeonides PP, Pournaras J, Petsatodes G, Christoforides J, Hatzokos I, Pantazis E (1997) Total hip arthroplasty in neglected congenital dislocation of the hip. Clin Orthop Relat Res 341:55–61

    PubMed  Google Scholar 

  32. Faldini C, Miscione MT, Chehrassan M, Acri F, Pungetti C, d'Amato M, Luciani D, Giannini S (2011) Congenital hip dysplasia treated by total hip arthroplasty using cementless tapered stem in patients younger than 50 years old: results after 12-years follow-up. J Orthop Traumatol 12(4):213–218

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Orthopaedic Department Medical School, National and Kapodistrian University, Athens, Greece

    George Hartofilakidis MD, FACS

  2. 2nd Orthopaedic Department Medical School, National and Kapodistrian University Nea Ionia General Hospital “Konstantopoulion”, Athens, Greece

    George C. Babis MD, DSc

  3. 3rd Orthopaedic Department, National and Kapodistrian University KAT General Hospital, Athens, Greece

    Kalliopi Lampropoulou-Adamidou MD, MSc

Authors
  1. George Hartofilakidis MD, FACS
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  2. George C. Babis MD, DSc
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  3. Kalliopi Lampropoulou-Adamidou MD, MSc
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Hartofilakidis, G., Babis, G.C., Lampropoulou-Adamidou, K. (2014). Technical Considerations. In: Congenital Hip Disease in Adults. Springer, Milano. https://doi.org/10.1007/978-88-470-5492-9_7

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  • DOI: https://doi.org/10.1007/978-88-470-5492-9_7

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5491-2

  • Online ISBN: 978-88-470-5492-9

  • eBook Packages: MedicineMedicine (R0)

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