The techniques of soft tissue release and true socket reconstruction in total hip arthroplasty for patients with severe developmental dysplasia of the hip

Wu, Xing; Li, Shaohua; Lou, Lie-ming; Cai, Zhengdong

doi:10.1007/s00264-012-1622-6

Cited by 39 publications

(30 citation statements)

References 28 publications

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“…And finally, the soft tissue balance is of great importance (especially the need to preserve the continuity of abductors) to maximise postoperative functional result. 8,9 Various techniques have been described in the literature (Table 1).…”

Section: Discussionmentioning

confidence: 99%

Challenges and outcome of total hip arthroplasty in patients with developmental dysplasia of the hip: a clinical series with a spectrum of disease manifestation and technical notes

Kumar¹,

Kumar²,

Noorudheen³

2018

Int J Res Orthop

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Patients with developmental dysplasia of hip eventually lead on to secondary osteoarthritis in adulthood and may end up with total hip arthroplasty at a younger age. Because of the altered anatomy of dysplastic hips, total hip arthroplasty in these patients is a technically demanding procedure. Altered anatomy of the acetabulum and proximal femur together with leg length discrepancy pose challenges during total hip arthroplasty. Since the majority of the patients are in the younger age group, soft tissue balance is of great importance to maximise postoperative functional result and longevity of prosthesis. In this paper, we present a series of our patients with a spectrum of disease manifestation from mild to severe form and also discuss the associated challenges and the technical solutions and their outcome.

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Section: Discussionmentioning

confidence: 99%

Challenges and outcome of total hip arthroplasty in patients with developmental dysplasia of the hip: a clinical series with a spectrum of disease manifestation and technical notes

Kumar¹,

Kumar²,

Noorudheen³

2018

Int J Res Orthop

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“…For some time we performed THA [26] in the high dislocated hip using extensive soft tissue release without femur osteotomy, as described by Wu et al [24]. We found that this technique for hip reduction was very difficult and the risk of nerve injury was high.…”

Section: Discussionmentioning

confidence: 99%

Partial greater trochanter osteotomy for hip reduction in total hip arthroplasty for high dislocated hip: a preliminary report

Liu

Bai

Song

et al. 2014

BMC Musculoskelet Disord

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BackgroundHip reduction in total hip arthroplasty for high dislocated hips is difficult. Various femur osteotomy procedures have been used for hip reduction, but these methods increase operative time and risk of nonunion. We investigated the efficacy of a novel partial greater trochanter osteotomy technique for hip reduction in total hip arthroplasty for patients with high hip dislocation.MethodsTwenty-one patients (23 hips) with high dislocated hip were treated with total hip arthroplasty that included partial greater trochanter osteotomy, i.e., the upper 2/3 greater trochanter was resected, and the gluteus medius muscle attachment was spared. The clinical outcome was evaluated by comparing the Harris hip scores and radiographic exam results, obtained before surgery and at follow-ups.ResultsFollow-ups of 21 patients ranged from 13 to 56 months. The mean Harris hip score increased from preoperative 55.0 (36–69) to postoperative 86.1 (71–93; P = 0.00). The average preoperative leg length discrepancy in patients with unilateral high hip dislocation was 46 mm (28–65 mm); postoperatively leg length discrepancy was less than 1 cm in 11 patients, between 1 and 2 cm in 8 patients, and more than 2 cm in 2 patients. The average leg lengthening at the time of surgery was 36 mm (24–54 mm). Trendelenburg’s gait changed from positive to negative in 20 hips by the last follow-up. No nerve injury occurred postoperative.ConclusionPartial greater trochanter osteotomy is an effective method to render hip reduction in total hip arthroplasty for patients with high dislocation of the hip.Electronic supplementary materialThe online version of this article (doi:10.1186/1471-2474-15-293) contains supplementary material, which is available to authorized users.

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“…The combined anteversion of all patients were set under 55° to prevent post‐surgery dislocation. Specific soft tissue release can vary widely and relate to the hip capsule, iliotibial tract, part of gluteus, the adductor, iliopsoas muscle, sartorius muscle, and rectus femoris.…”

Section: Methodsmentioning

confidence: 99%

Crowe Type IV Hip Dysplasia Treated by THA Comebined with Osteotomy to Balance Functional Leg Length Discrepancy: A Prospective Observational Study

Shi

Cheng

Feng

et al. 2020

Orthopaedic Surgery

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The techniques of soft tissue release and true socket reconstruction in total hip arthroplasty for patients with severe developmental dysplasia of the hip

Cited by 39 publications

References 28 publications

Challenges and outcome of total hip arthroplasty in patients with developmental dysplasia of the hip: a clinical series with a spectrum of disease manifestation and technical notes

Challenges and outcome of total hip arthroplasty in patients with developmental dysplasia of the hip: a clinical series with a spectrum of disease manifestation and technical notes

Partial greater trochanter osteotomy for hip reduction in total hip arthroplasty for high dislocated hip: a preliminary report

Crowe Type IV Hip Dysplasia Treated by THA Comebined with Osteotomy to Balance Functional Leg Length Discrepancy: A Prospective Observational Study

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