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Erschienen in: International Orthopaedics 3/2012

01.03.2012 | Original Paper

Femoral shortening and cementless arthroplasty in Crowe type 4 congenital dislocation of the hip

verfasst von: Daniel Neumann, Christoph Thaler, Ulrich Dorn

Erschienen in: International Orthopaedics | Ausgabe 3/2012

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Abstract

Purpose

In reconstruction of congenital hip dislocation by total hip arthroplasty (THA), positioning of the acetabular component in the true acetabulum is sometimes accompanied by shortening of the femur. Shortening of the femur is of importance for minimising risk of damaging neurovascular structures due to excessive limb lengthening. Furthermore, reduction of the femoral head into the true acetabulum remains challenging without shortening of the femur.

Methods

We performed a consecutive case series of cementless THA with femoral shortening and Crowe type 4 congenital dislocation. All acetabular cups were placed in their original anatomical location. In all cases a proximal diaphyseal step-cut shortening osteotomy was performed and stabilised with two to three titanium cerclage bands.

Results

At an average of 60 months follow-up (range 36–96), 12 patients (13 THA) were scored clinically by the Merle D’Aubigne and Harris hip scores. In ten cases good to excellent outcome scores were observed. During the follow-up period no cases of aseptic loosening, nerve palsy, nonunions or dislocations were found.

Conclusions

This technique seems to be an excellent treatment option in the case of Crowe type 4 hips presenting with endstage osteoarthritis.
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Metadaten
Titel
Femoral shortening and cementless arthroplasty in Crowe type 4 congenital dislocation of the hip
verfasst von
Daniel Neumann
Christoph Thaler
Ulrich Dorn
Publikationsdatum
01.03.2012
Verlag
Springer-Verlag
Erschienen in
International Orthopaedics / Ausgabe 3/2012
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-011-1293-8

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