Total Hip Replacement in Congenital Dislocation and Dysplasia of the Hip

Banaszkiewicz, Paul A.

doi:10.1007/978-1-4471-5451-8_30

Cited by 5 publications

(3 citation statements)

References 13 publications

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“…This was a single center retrospective study, approved by the local institutional review board. The inclusion criteria followed the P (participant), I (intervention), C (comparison), O (outcome), S (study design) principle: (i) Participant: adult Crowe type I hips according to Crowe classification, having extreme impairment of daily activity; (ii) Intervention: underwent THA between January 2016 and December 2017; (iii) Comparison: the differences of femoral anteversion at different levels with the postoperative stem anteversion; (iv) Outcome: the optimal level of femoral neck for predicting postoperative stem anteversion; and (v) Study design: a retrospective study. The exclusion criteria were: (i) previous hip surgery; (ii) lack of integral imaging data; (iii) obvious flexion contracture of the hip; and (iv) more than 3° malalignment of the stem in the coronal and/or sagittal plane.…”

Section: Methodsmentioning

confidence: 99%

Optimal Level of Femoral Neck for Predicting Postoperative Stem Anteversion in Total Hip Arthroplasty for Crowe Type I Dysplastic Hip

Zhai

Zhang

et al. 2020

Orthopaedic Surgery

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Objective: To investigate the optimal level of femoral neck for measuring femoral anteversion to predict postoperative stem anteversion in Crowe type I developmental dysplasia of the hip.Methods: This retrospective study analyzed 108 Crowe type I hips that underwent THA between January 2016 and December 2017, including 70 women and 19 men with a mean age of 63.08 AE 9.13 (range, 41-83) years. The single-wedge stem was used in 37 hips, the double-wedge stem was used in 71 hips. Computed tomography scans were performed pre-and post-operation. Femoral anteversion at six levels of the proximal femur were measured via preoperative two-dimensional computed tomography. Femoral anteversion at the level of the femoral neck osteotomy plane and postoperative stem anteversion were measured via three-dimensional reconstructed models.Results: The mean follow-up period was 18.5 months (range, 12-27 months). The mean preoperative Harris Hip Score was 51.5 AE 8.7 and improved to 90.4 AE 7.8 (P < 0.001) by the last follow-up. There were no intraoperative fractures, and no infections occurred during the follow-up period. Two patients developed deep venous thrombosis. There was no sign of prosthetic loosening in all hips. No significant correlations were found between the height of the femoral neck osteotomy plane and postoperative stem anteversion (r = −0.119, P = 0.220). Femoral anteversion decreased gradually from 64.00 AE 10.51 at the center of lesser trochanter to 15.21 AE 13.31 at the head-neck junction, which was changed from more to less than stem anteversion (24.37 AE 13.86 ). The femoral anteversion at femoral head-neck junction (15.21 AE 13.31 ) was significantly less than postoperative stem anteversion (P = 0.000), with a difference of −9.16 AE 9.27 . The femoral anteversion at the level of the osteotomy plane (28.48 AE 15.34 ) was significantly more than the postoperative stem anteversion (P = 0.000), with a difference of 4.11 AE 9.56 . Among all six levels and the level of osteotomy, femoral anteversion at the 10-mm level above the proximal base of lesser trochanter (22.65 AE 12.92) displayed the smallest difference (−1.72 AE 8.90 ) and a good correlation (r = 0.764) with postoperative stem anteversion for all 108 hips, with a moderate correlation of 0.465 for single-wedge stem hips and an excellent correlation of 0.821 for double-wedge stem hips.Conclusion: For Crowe type I hips, femoral anteversion would be different if it was measured via different levels of the femoral neck. The 10-mm level above the proximal base of the lesser trochanter could be an optimum choice for measuring femoral anteversion to predict postoperative stem anteversion.

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Section: Methodsmentioning

confidence: 99%

Optimal Level of Femoral Neck for Predicting Postoperative Stem Anteversion in Total Hip Arthroplasty for Crowe Type I Dysplastic Hip

Zhai

Zhang

et al. 2020

Orthopaedic Surgery

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“…Tras la aprobación del protocolo de estudio por el Comité de Ética de Protocolos de Investigación del hospital y la firma del consentimiento informado por parte de los pacientes incluidos, se llevó a cabo un estudio retrospectivo de los resultados funcionales de 111 pacientes sometidos a una ATC primaria en nuestro centro, entre Enero de 2019 y Enero de 2020. Los criterios de inclusión fueron pacientes de entre 21 y 65 años de edad, operados por artrosis primaria o secundaria a displasia grado 1 y 2 de Crowe, 12 necrosis ósea avascular de la cabeza femoral y artritis reumatoidea. Los criterios de exclusión fueron fractura del cuello femoral, fracturas intertrocantéricas o patológicas y aquellos pacientes que no conducían previamente a la intervención.…”

Section: Materials Y Métodosunclassified

¿Cuándo se reanuda la conducción después del reemplazo total de cadera primario?

Godoy-Monzón,

García-Mansilla,

Jiménez-Baquero

et al. 2023

Acta Ortopédica Mexicana

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RESUMEN. Introducción: la literatura actual relaciona el regreso a la conducción vehicular con múltiples variables. Sin embargo, los datos actuales sobre el tiempo de regreso a la conducción luego de una artroplastía total de cadera (ATC) son diversos e incluso contradictorios. Por lo tanto, nos hemos planteado el objetivo de determinar el tiempo requerido para volver a conducir en un grupo de pacientes sometidos a una ATC primaria mediante un abordaje posterolateral, centrándonos específicamente en vehículos de marcha manual. Material y métodos: hemos estudiado los resultados clínico-funcionales de 112 pacientes sometidos a una ATC primaria entre Enero de 2019 y Enero de 2020 en un hospital de alta complejidad en Cádiz, Andalucía, España. Resultados: la mediana del tiempo de regreso a la conducción fue de tres semanas (RIC 2-4). Hemos identificado que 89.3% de los pacientes pudo volver a conducir antes de la sexta semana posterior a la cirugía. Además, en 92% de los casos, los pacientes se sintieron aún más seguros al conducir después de la ATC que antes de la intervención. Conclusión: consideramos que a la sexta semana de una ATC es seguro reanudar la conducción de un vehículo.

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“…Several classification systems have been developed to characterize DDH in adults. The most frequently used system is Crowe classification system [4]. The system is a quantitative method based on the amount of femoral head subluxation in relation to the height of the undeformed femoral head, not informative on the pathoanatomy of the acetabulum.…”

Section: Anatomical Abnormalities and Classificationsmentioning

confidence: 99%

Current concepts in developmental dysplasia of the hip and Total hip arthroplasty

Wang

2019

Arthroplasty

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Developmental dysplasia of the hip (DDH) is a spectrum of pathology that involves dysplasia of both the acetabulum and the femur. If left untreated, it can develop to hip pain and osteoarthritis, which eventually require total hip arthroplasty (THA). A broad array of anatomical abnormalities of the acetabulum and femur, plus the younger age of DDH patients make THA a great challenge. Meticulous operation planning with various options is one of the most important prerequisites of a successful THA. This review presents the current concepts of acetabular and femoral reconstruction in THA for DDH, including high hip center, acetabular bone deficiency, highly porous metal, correction of femoral anteversion, femoral shortening osteotomy, stem selection, among others.

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Total Hip Replacement in Congenital Dislocation and Dysplasia of the Hip

Cited by 5 publications

References 13 publications

Optimal Level of Femoral Neck for Predicting Postoperative Stem Anteversion in Total Hip Arthroplasty for Crowe Type I Dysplastic Hip

Optimal Level of Femoral Neck for Predicting Postoperative Stem Anteversion in Total Hip Arthroplasty for Crowe Type I Dysplastic Hip

¿Cuándo se reanuda la conducción después del reemplazo total de cadera primario?

Current concepts in developmental dysplasia of the hip and Total hip arthroplasty

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