Cementless total replacement for severely dysplastic or dislocated hips

Abstract

We report the short-term results of 100 cementless total hip replacements in 52 severely dysplastic and 48 totally dislocated hips, with some new technical solutions to the problems involved. In cases with a very narrow iliac bone, the acetabular screw ring is seated below the true cotyloid area. In hips with tight flexor

A Case Report- Tuberculous Dislocation of Pediatric Hip Managed by Naseer Awais External Fixator

“…His outcome was a stable hip but at the expense of limitation of movement. Lai Liu & Liu [16] have shown good results with Wagner tibiofemoral distraction followed by total hip replacement in [17] congenitally dislocated hips. Irreducibility, over shortening, nerve palsy, dislocation and femoral fractures were avoided.…”

“…Treatment of the chronically dislocated hip is controversial with most studies focusing on congenital dislocation and dysplastic hips. Femoral shortening, either by metaphyseal resection or subtrochanteric osteotomy, trochanteric osteotomy with distal advancement and soft-tissue release has been advocated [17,19,20]. These procedures are technically demanding and need careful study of the anatomy.…”

Bone grafting in total hip arthroplasty for insufficient acetabulum

“…In tum, these serve as prerequisites for the final consolidation of the graft. (Stamos 1984, Paavilainen 1990, Young 1991, Rodriguez 1995 True consolidation and remodeling of the bulky Acta Orthop Scand (Suppl 275) 1997;68: 33-37 corticocancellous grafts is still controversial. In one report with 2 necropsies in which 2 deep freezed autologous bone grafts had been used, the findings indicated that true consolidation and healing of the graft had not occurred (Hooten 1996).…”

“…During recent years, however, a growing number of articles have reported successful management of these difficult hips using total hip arthroplasty, the most of which are cemented (Paavilainen et al 1990, Hartofilakidis et al 1996.…”

Total hip replacement for developmental dysplasia of the hip: How I do it

“…During 1982-1986, we treated 100 severely dysplastic or dislocated hips with uncemented Lord arthroplasties and reported the outcome (Paavilainen et al 1990). The main principles of the osteoplasties we use today were developed on basis of this work.…”