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Cementless total hip arthroplasty for severely dislocated hips previously treated with Schanz osteotomy of the proximal femur

  • Hip Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

We report the short-term outcomes of total hip arthroplasty(THA) in patients previously treated with Schanz osteotomy (SO).

Materials and methods

Eighteen patients [2 male, 16 female; mean age, 55.4 (range, 50–66) years] who had undergone THA after SO were retrospectively evaluated. Clinical evaluation was performed based on the Harris hip score. Radiological evaluation was performed using full-length radiographs of the lower extremities, pelvis, and hip.

Results

The mean follow-up period was 30.8 (range, 18–56) months. Mean femoral shortening was 3.7 (range, 2–5) cm. Perioperative complications occurred in 4 (22.2%) patients. Nonunion was not found at the osteotomy sites. No dislocation was observed. The Trendelenburg sign was positive for five (27.7%) patients, postoperatively. The mean Harris hip score improved from 42.7 to 78.7 (p < 0.05).

Conclusion

THA for hips previously treated with SO is technically demanding. If careful preoperative planning is performed, successful treatment can be achieved.

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Authors and Affiliations

  1. Baltalimani Bone and Joint Diseases Education and Research Hospital, Rumelihisari Cad. No: 62, Baltalimani, Sariyer, Istanbul, Turkey

    Yunus Emre Akman, Umut Yavuz, Engin Çetinkaya, Volkan Gür, Murat Gül & Bilal Demir

Authors
  1. Yunus Emre Akman
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  2. Umut Yavuz
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  3. Engin Çetinkaya
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  4. Volkan Gür
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  5. Murat Gül
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  6. Bilal Demir
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Correspondence to Engin Çetinkaya.

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Akman, Y., Yavuz, U., Çetinkaya, E. et al. Cementless total hip arthroplasty for severely dislocated hips previously treated with Schanz osteotomy of the proximal femur. Arch Orthop Trauma Surg 138, 427–434 (2018). https://doi.org/10.1007/s00402-018-2879-z

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  • DOI: https://doi.org/10.1007/s00402-018-2879-z

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