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Total hip replacement in developmental dysplasia using an oval-shaped cementless press-fit cup

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Abstract

Purpose

Acetabular roof deficiency due to subluxation of the femoral head (Hartofilakidis type II) increases the complexity of total hip arthroplasty. In these cases some form of support is usually required, to reach stable fixation of the acetabular component. Pursuing this aim, the oval-shaped cementless cranial socket could be an alternative to conventional treatment options.

Methods

Between 1998 and 2008, 37 patients (40 hips) underwent primary total hip arthroplasty using the cranial socket (mean follow-up 5.6 years, range 26 to 133 months). In a retrospective study we compared these clinical and radiological results with the results of a matched control group consisting of 35 patients (40 hips) treated with a standard cementless hemispherical cup in combination with bulk femoral autografting (mean follow-up 6.9 years, range 30 to 151 months).

Results

There were no statistically significant differences in the HHS (p = 0.205) or the SF-36 (p = 0.26) between both groups. There was no prosthesis failure due to septic or aseptic loosening. Time of surgery was significantly shorter in the cranial socket group (p < 0.001). The acetabular component could be placed in the ideal rotational hip centre in 24 (60%) hips in the cranial socket group and 32 (80%) hips in the control group, respectively.

Conclusions

Our study indicates, that the cranial socket can be an alternative treatment option for the reconstruction of acetabular deficiency in osteoarthritis secondary to developmental dysplasia.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Orthopedic Center for Musculoskeletal Research, Department of Orthopedic Surgery, Koenig-Ludwig-Haus, Julius-Maximilians-University Wuerzburg, Brettreichstr. 11, 97074, Wuerzburg, Germany

    Boris M. Holzapfel, Ulrich Nöth & Maximilian Rudert

  2. Clinic for Orthopaedic Surgery, Klinikum Rechts der Isar, Technical University Munich, Ismaninger Str. 22, 81675, Munich, Germany

    Boris M. Holzapfel, Peter M. Prodinger, Hakan Pilge & Hans Gollwitzer

  3. Department of Orthopedic Surgery, Asklepios Klinikum Bad Abbach, University of Regensburg, Kaiser Karl V Allee 3, 93077, Bad Abbach, Germany

    Felix Greimel

Authors
  1. Boris M. Holzapfel
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  2. Felix Greimel
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  3. Peter M. Prodinger
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  4. Hakan Pilge
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  5. Ulrich Nöth
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  6. Hans Gollwitzer
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  7. Maximilian Rudert
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Correspondence to Boris M. Holzapfel.

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Holzapfel, B.M., Greimel, F., Prodinger, P.M. et al. Total hip replacement in developmental dysplasia using an oval-shaped cementless press-fit cup. International Orthopaedics (SICOT) 36, 1355–1361 (2012). https://doi.org/10.1007/s00264-012-1510-0

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  • DOI: https://doi.org/10.1007/s00264-012-1510-0

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