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International Orthopaedics

Erschienen in:

01.03.2013 | Original Paper

Lesser trochanteric osteotomy in total hip arthroplasty for treating CROWE type IV developmental dysplasia of hip

verfasst von: Nirong Bao, Jia Meng, Liwu Zhou, Ting Guo, Xiaofeng Zeng, Jianning Zhao

Erschienen in: International Orthopaedics | Ausgabe 3/2013

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Abstract

Purpose

The study was designed to evaluate the efficacy and safety of lesser trochanteric osteotomy for femoral shortening in total hip arthroplasty in treatment of 28 cases of CROWE IV developmental dysplasia of the hip (DDH).

Methods

Patients underwent progressive femoral shortening at the level of lesser trochanteric to make reduction possible into the anatomical acetabulum in all hips. The results were collected and evaluated clinically and radiographically.

Results

The mean follow-up period was 55.3 months. The average postoperative leg length discrepancy was eight millimetres for unilateral THA patients. A modified Merle d’Aubigné scale was improved from 9.3 preoperatively to 15.9 postoperatively. Sciatic nerve palsy was confirmed in two hips which resolved completely in six months. The Trendelenburg sign was positive in two hips at the final follow-up. No revision surgery was required by the final follow-up.

Conclusion

Lesser trochanteric osteotomy proved to be safe and effective in femoral shortening for treatment of CROWE IV DDH without the problem of nonunion at the site of osteotomy.

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Titel: Lesser trochanteric osteotomy in total hip arthroplasty for treating CROWE type IV developmental dysplasia of hip
verfasst von: Nirong Bao
Jia Meng
Liwu Zhou
Ting Guo
Xiaofeng Zeng
Jianning Zhao
Publikationsdatum: 01.03.2013
Verlag: Springer-Verlag
Erschienen in: International Orthopaedics / Ausgabe 3/2013
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-012-1758-4

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