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...

UNLABELLED The optimal surgical approach for combined femoral head and acetabular fractures (Pipkin IV) is controversial because of their rarity and lack of definitive reports. Surgical dislocation with trochanteric flip osteotomy (TFO) allows simultaneous exposure of the acetabulum and femoral head. We protected the obturator internus and inferior capsule during repair with a heavy suture at t...

We have reviewed 103 of 126 Chiari osteotomies carried out in our department between 1956 and 1987. The cases were graded radiologically, using the Japanese Orthopaedic Association (JOA) system, into a pre/early osteoarthritis (OA) group and an advanced OA group. In the pre/early group there were 86 hips. The mean follow-up was for 17.1 years (4 to 37). Preoperatively, 51 hips had an average JO...

BACKGROUND We evaluated the clinical and radiological results of one-stage correction for cerebral palsy patients. METHODS We reviewed clinical outcomes and radiologic indices of 32 dysplastic hips in 23 children with cerebral palsy (13 males, 10 females; mean age, 8.6 years). Ten hips had dislocation, while 22 had subluxation. Preoperative Gross Motor Function Classification System (GMFCS) s...

OBJECTIVES to evaluate the radiographic results from patients with bilateral developmental dysplasia of the hip (DDH) who underwent surgical treatment by means of open reduction and Salter osteotomy, with or without associated femoral shortening as described by Ombrédanne. METHODS this was a retrospective descriptive study in which 21 patients with bilateral DDH (42 hips) were analyzed. They ...

PURPOSE Treatment of slipped capital femoral epiphysis (SCFE), including the modified Dunn procedure, restores anatomy with significant risk for avascular necrosis (AVN), if performed in the setting of moderate to severe, stable SCFE. The Imhauser osteotomy has been shown to be an effective way to correct residual deformity without the risk of AVN. We sought to evaluate the effectiveness and sa...

BACKGROUND Correction of a distal femoral deformity may prevent or delay the onset of osteoarthritis or mitigate its effects. Accurate correction of deformity without production of a secondary deformity depends on precise localization and quantification of the deformity. We report a technique to correct distal femoral deformities in the coronal plane. METHODS Fourteen femora in thirteen skele...

This work presents the procedure of a computational model of pathological hip joint allowing a simple modification of individual parts of the model according to the planned course of femoral and pelvic osteotomy. Both presented models were subjected to strain-stress analysis by a finite element method using the ANSYS program system. The obtained results are compared with physiological hip joint...

Background: Femoral and pelvic osteotomies are potential hemorrhagic interventions where transfusion requirements can be necessary. Objective: We undertook a secondary analysis of patients who underwent femoral osteotomy in the initial cohort. The objective this was to describe intraoperative postoperative outcomes management these terms blood product fluid hemodynamic therapy with aim implemen...

Supracondylar femoral osteotomy was performed on 82 patients between 8 and 25 years of age to correct knee flexion contractures of 15 to 95 degrees resulting from poliomyelitis. Seven who could not walk before the osteotomy could do so afterwards and 21 out of22 patients were cured ofa hand-knee gait. Thirty-four of53 who walked with a caliper were able to discard it. Residual flexion contractu...