title: Transverse Subtrochanteric Shortening Osteotomy During Cementless Total Hip Arthroplasty in Crowe Type-III or IV Developmental Dysplasia.
abstract: The purpose of this study was to review the outcomes of transverse subtrochanteric shortening osteotomy during cementless total hip arthroplasty in Crowe Type-III or IV developmental dysplasia. Seventy-three osteotomies were included in our study. Mean follow-up was 61 months. Harris hip score, leg length discrepancy, neurological status, union status of the osteotomy, and femoral component stability were the criteria for evaluation. All complications were noted. The mean Harris hip score improved from 38.6 points to 83.7 points. The mean leg length discrepancy decreased from 56.5 mm to 10.7 at the latest follow-up. The mean union time was 5.2 months. We observed 4 non-unions. Transverse subtrochanteric shortening osteotomy is an effective and reliable method in restoration of a more normal limb.
authors.affiliation: Erzincan University Faculty of Medicine, Erzincan, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Sofu
authors.affiliation: Erzincan University Faculty of Medicine, Erzincan, Turkey.
authors.forename: Nizamettin
authors.initials: N
authors.lastname: Kockara
authors.affiliation: Baltalimani Bone and Joint Diseases Hospital, Istanbul, Turkey.
authors.forename: Sarper
authors.initials: S
authors.lastname: Gursu
authors.affiliation: Erzincan University Faculty of Medicine, Erzincan, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Issin
authors.affiliation: Mengucekgazi Education and Research Hospital, Erzincan, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Oner
authors.affiliation: Erzincan University Faculty of Medicine, Erzincan, Turkey.
authors.forename: Vedat
authors.initials: V
authors.lastname: Sahin
mesh_terms: D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D006801:Humans; D053208:Kaplan-Meier Estimate; D007870:Leg Length Inequality / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D012189:Retrospective Studies
keywords: Arthroplasty; Developmental dysplasia; Hip; Limb length discrepancy; Shortening osteotomy