title: Femoral shortening in total arthroplasty for completely dislocated hips: 3-7 year results in 25 cases.
abstract: During the years 1988-1991, we performed 25 total hip replacements for completely dislocated hips in 15 women and 4 men with a median age of 54 (17-67) years. In all cases, femoral shortening at the subtrochanteric level was performed to obtain reduction of the hip. The patients have been followed for 3-7 years. 1 patient experienced sciatic nerve palsy, 1 a delayed union and 1 a malunion at the osteotomy site. There were no signs of mechanical failure. All patients were satisfied. According to the Charnley hip score, function was excellent in 15 cases, good in 9 and fair in 1. The median Harris hip score improved from 43 at the time of operation to 93 at follow-up. 7 hips had a positive and 18 a negative Trendelenburg test. Before operation, all patients had a Trendelenburg limp. Our intermediate results indicate that femoral shortening at the subtrochanteric level is a suitable adjunct to total arthroplasty for a completely dislocated hip.
authors.affiliation: Department of Surgery, National Orthopedic Hospital, Oslo, Norway.
authors.forename: O
authors.initials: O
authors.lastname: Reikeraas
authors.forename: P
authors.initials: P
authors.lastname: Lereim
authors.forename: I
authors.initials: I
authors.lastname: Gabor
authors.forename: R
authors.initials: R
authors.lastname: Gunderson
authors.forename: I
authors.initials: I
authors.lastname: Bjerkreim
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006617:Hip Dislocation / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging; D006622:Hip Prosthesis / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome