Comparative Assessment of Subtrochanteric Shortening Osteotomy and Paavilainen’s Proximal Osteotomy in Total Hip Arthroplasty for Crowe III–IV Dysplasia

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Cementless total hip arthroplasty with a double chevron subtrochanteric shortening osteotomy in patients with Crowe type-IV hip dysplasia.

The authors describe a modified double chevron subtrochanteric shortening osteotomy combined with cementless total hip arthroplasty for Crowe type-IV hip dysplasia. Shortening the femur allows to relax the shortened musculature. This operation was performed in 18 patients (22 hips) between January 2000 and February 2006. The mean follow-up period was 5.6 years (range: 3 to 8 years). The mean am...

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Transverse Subtrochanteric Shortening Osteotomy in Total Hip Arthroplasty for Severe Hip Developmental Dysplasia

Thirty-five total hip arthroplasties (33 patients) were performed in cases of Crowe grade III or IV hip dysplasia using subtrochanteric shortening osteotomy with two kinds of femoral stem: monoblock and modular type. All acetabular components were used with a cementless cup. The average patient age was 47.8 years, and the average follow-up time was 5.1 years. Acetabular reconstruction was perfo...

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Reconstruction of neglected developmental dysplasia by total hip arthroplasty with subtrochanteric shortening osteotomy

Patients with neglected developmental dysplasia (DDH) face with early osteoarthritis of the hip, limb length inequality and marked disability while total hip reconstruction is the only available choice.DDH has severe morphologic consequences, with distorted bony anatomy and soft tissue contractures around the hip. It is critical to evaluate patients thoroughly before surgery.Anatomic reconstruc...

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Treatment of Crowe IV high hip dysplasia with total hip replacement using the Exeter stem and shortening derotational subtrochanteric osteotomy.

We evaluated all cases involving the combined use of a subtrochanteric derotational femoral shortening osteotomy with a cemented Exeter stem performed at our institution. With severe developmental dysplasia of the hip an osteotomy is often necessary to achieve shortening and derotation of the proximal femur. Reduction can be maintained with a 3.5 mm compression plate while the implant is cement...

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Total hip arthroplasty for Crowe IV hip without subtrochanteric shortening osteotomy -a long term follow up study

BACKGROUND Several authors reported encouraging results of total hip arthroplasty (THA) for Crowe IV hips performed using shortening osteotomy. However, few papers have documanted the results of THA for Crowe IV hips without shortening osteotomy. The aim of the present study was to assess the long term-results of cemented THAs for Crowe group IV hips performed without subtrochanteric shortening...

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ژورنال

عنوان ژورنال: Traumatology and Orthopedics of Russia

سال: 2020

ISSN: 2542-0933,2311-2905

DOI: 10.21823/2311-2905-2020-26-1-21-35