Total hip arthroplasty in high dislocated and severely dysplastic septic hip sequelae.
The authors analyzed a consecutive series of 20 total hip arthroplasties performed using a cementless conical stem with shortening osteotomy combined with greater trochanter transfer in cases with a highly dislocated hip secondary to sequelae of a septic hip in childhood. Mean patient age was 47.3 years and the mean follow-up period was 3.4 years. An acetabular metal cup was inserted in 5 cases, and only a liner was inserted after cementing in 15 cases. Mean Harris hip score improved from 42.4 preoperatively to 84.2 at final follow-up. Mean leg lengthening was 36.5 mm, and time to greater trochanter union was 3.72 months. No complete radiolucent line of thickness >2 mm was observed in any case. These surgical methods produced satisfactory clinical and radiological results.
Center for Joint Disease, Chonnam National University Hwasun Hospital, Hwasun-Eup, Hwasun-Gun, Jeonnam, Korea.
Kyung-Soon
KS
Park
Taek-Rim
TR
Yoon
Eun-Kyoo
EK
Song
Jong-Keun
JK
Seon
Keun-Bae
KB
Lee
D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery; D005500:Follow-Up Studies; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006618:Hip Dislocation, Congenital / Q000150:complications*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D007592:Joint Diseases / Q000150:complications* / Q000382:microbiology*; D007870:Leg Length Inequality / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010027:Osteotomy; D011474:Prosthesis Design; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome