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Total hip arthroplasty without subtrochanteric femoral osteotomy is possible in patients with Crowe III/IV developmental dysplasia: total hip arthroplasty without femoral osteotomy

Archives of Orthopaedic and Trauma Surgery volume 140, pages 409–413 (2020)Cite this article

Abstract

Background

We aimed to present our THA technique without femoral shortening osteotomy that we perform for the treatment of coxarthrosis on Crowe type III/IV developmental dysplasia of the hip and to present the early clinical outcomes of our patients.

Methods

77 patients with Crowe type III/IV developmental dysplasia of the hip, who had admitted to our clinic between 2013 and 2017, and had undergone cementless THA without femoral shortening by a single surgeon, were retrospectively evaluated. Patients were called for a final evaluation and assessed by Harris Hip Score. Trendelenburg sign was observed. For radiological evaluation, routine anteroposterior and lateral hip radiography and orthoroentgenogram was used.

Results

Mean duration of follow-up was 38.2 (22–52) months. Pre-operative mean Harris Hip Score was 53.9 (49–62) and post-operative mean value was 82.7 (76–95). Mean duration of operation was 44.9 (39–57) min. In post-operative final evaluation only three patients (3.8%) had positive Trendelenburg sign. 3 patients (3.8%) had early dislocation. No sciatic palsy was observed in any of the patients. Revision with acetabular cage was performed for one (1.2%) patient due to protrusion development in the acetabular cup. The mean prosthesis survival rate was 98.8%.

Conclusions

Total hip arthroplasty without femoral osteotomy can be considered as a successful method in selected patients with Crowe III/IV coxarthrosis. It provides good clinical outcomes in the early period, reduces surgery duration, has acceptable complication rates, has high prosthesis survival rates.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Affiliations

  1. Department of Orthopaedics and Traumatology, Katip Celebi University, Izmir Ataturk Training and Research Hospital, Izmir, Turkey

    Mesut Tahta

  2. Emsey Hospital, Istanbul, Turkey

    Cetin Isik & Ismail Oltulu

  3. Hatice-MaummerKocatuırk State Hospital, Kayseri, Turkey

    Enes Uluyardimci

  4. Department of Orthopaedics and Traumatology, Yildirim Beyazit University, Ataturk Training and Research Hospital, Ankara, Turkey

    Sahin Cepni

Authors
  1. Mesut Tahta
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  2. Cetin Isik
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  3. Enes Uluyardimci
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  5. Ismail Oltulu
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Correspondence to Mesut Tahta.

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Tahta, M., Isik, C., Uluyardimci, E. et al. Total hip arthroplasty without subtrochanteric femoral osteotomy is possible in patients with Crowe III/IV developmental dysplasia: total hip arthroplasty without femoral osteotomy. Arch Orthop Trauma Surg 140, 409–413 (2020). https://doi.org/10.1007/s00402-019-03320-6

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  • DOI: https://doi.org/10.1007/s00402-019-03320-6

Keywords

  • Hip
  • Arthroplasty
  • Femoral shortening
  • Osteotomy