Total Hip Arthroplasty with Subtrochanteric Shortening Osteotomy for Crowe Grade 4 Dysplasia Using the Direct Anterior Approach

Oinuma, Kazuhiro; Tamaki, Toru; Miura, Yoko; Kaneyama, Ryutaku; Shiratsuchi, Hideaki

doi:10.1016/j.arth.2013.07.038

Cited by 41 publications

(43 citation statements)

References 30 publications

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“…The first two techniques-simple stitch (two loops in parallel) and the figure-of-eight stitch-are widely used in clinical practice for suturing soft tissues (Hansen et al, 2011;Kluba et al, 2012;Miozzari et al, 2010;Oinuma et al, 2014). The last suturing technique involves the use of a novel stitch, hereinafter referred to as double loop (DL) stitch.…”

Section: Suturing Techniquesmentioning

confidence: 99%

Suturing the myotendinous junction in total hip arthroplasty: A biomechanical comparison of different stitching techniques

Lionello

Fognani

Baleani

et al. 2015

Clinical Biomechanics

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Section: Suturing Techniquesmentioning

confidence: 99%

Suturing the myotendinous junction in total hip arthroplasty: A biomechanical comparison of different stitching techniques

Lionello

Fognani

Baleani

et al. 2015

Clinical Biomechanics

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“…В большинстве исследований отмечается, что консолидация в зоне остеотомии была достигнута в срок от 12 нед. до 1 года [4, 6-8, 22,24,26,27,29]. однако частота несращений была также высока.…”

Section: материал и методыunclassified

“…Oinuma с соавторами в своей работе отдают предпочтение модульным компонентам (S-ROM), сообщая о 100% выживаемости на протяжении 3,7 лет [27].…”

Section: материал и методыunclassified

Features of Tha in Patients With High Congenital Hip Dislocation

Камшилов

Triapichnikov

Чегуров

et al. 2017

Traumatology and Orthopedics of Russia

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There are a fair number of papers presenting the outcomes of total hip arthroplasty with shortening subtrochanteric osteotomy in neglected hip dislocation. In most of them the authors used long modular stems or Wagner stems as a femoral component. The reports describing the outcomes of such procedures with standard femoral stems are rather rare.The purpose of this study was to evaluate short-term and medium-term outcomes of total hip arthroplasty with standard femoral stems and shortening subtrochanteric osteotomy for treatment of high hip dislocation.Materials and methods. From 2010 to 2016 the authors performed 18 hip arthroplasties with shortening subtrochanteric osteotomy in 16 patients with high hip dislocation. All patients were clinically evaluated using Harris Hip Score and radiography prior to and after the surgery.Results. The mean Harris Hip Score significantly improved compared to preoperative values from 39.7±1.4 to 84.7±1.6. At mean follow-up of 24±2.4 mounts the authors observed 2 case of nonunion at osteotomy site and 1 case of transient nerve palsy. Revision surgery was performed in 2 patients due to nonunion. The mean limb lengthening was 3.65±0.21 cm.Conclusion. Our data demonstrated that total hip arthroplasty with subtrochanteric osteotomy is an effective technique for treatment of Crowe type III-IV congenital hipdislocation with high rate of successful fixation on the typical femoral stem, healing of osteotomy site and satisfactory shortand medium-term clinical outcomes. The non-modular tapered stem provides sufficient stability in distal and proximal parts of the femur. The use of standard tapered stem allows to achieve good healing rates of the osteotomy.

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“…Indications of DAA have been widened during recent years, in order to include dysplastic hips. Oinuma et al [9] have reported satisfactory outcomes in 322 cases of dysplastic hip that underwent total hip arthroplasties using the DAA. Several techniques have been developed with the use of DAA and specific instrumentation and implants.…”

Section: Introductionmentioning

confidence: 99%

Direct Anterior Approaches in Hip Arthroplasty. An Ephemeral Trend or the Forthcoming ‘Gold Standard’?

Sachinis

Konstantinou

Athanasiadou

et al. 2017

International Journal of Orthopaedics

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and differences exist between ASI and AMIS for the use of a special orthopaedic table (ASI uses a standard table). Clinical outcomes and survivability are analysed by several studies. Early results indicate faster recovery and shorter hospital stays and comparable medium and long term outcomes/survivability. However, most authors agree on DAA's lengthy learning curve and suggest that a surgeon may accomplish optimal results after 30-50 procedures approximately. Intraoperative complications, such as injury to lateral femoral cutaneous nerve and femur fractures, are specifically seen with use of DAA. Surgeons should be well educated and trained in anterior hip approaches before applying the latter. Quicker rehabilitation and comparable arthroplasty survival may be achieved but few studies exist and more are needed to be set, before DAA becomes the new 'gold standard' in hip arthroplasty.

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Total Hip Arthroplasty with Subtrochanteric Shortening Osteotomy for Crowe Grade 4 Dysplasia Using the Direct Anterior Approach

Cited by 41 publications

References 30 publications

Suturing the myotendinous junction in total hip arthroplasty: A biomechanical comparison of different stitching techniques

Suturing the myotendinous junction in total hip arthroplasty: A biomechanical comparison of different stitching techniques

Features of Tha in Patients With High Congenital Hip Dislocation

Direct Anterior Approaches in Hip Arthroplasty. An Ephemeral Trend or the Forthcoming ‘Gold Standard’?

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