Some Aspects of Total Hip Replacement with Subtrochanteric Shortening Osteotomy in Patients with Congenital Hip Dislocation (Review)

Cover Page


Cite item

Abstract

Total hip replacement (THR) in patients with a high congenital dislocation of the hip (Crowe type IV dysplasia in Crowe classification) is a technically difficult operation, associated with a high risk of complications. The most common variations of THRs used to restore the true center of rotation of the hip are subtrochanteric shortening osteotomy and proximal shortening osteotomy using the Paavilainen technique. Numerous publications refer to the technique and outcomes of subtrochanteric osteotomy, but fundamental differences of opinion persist on a number of points relating to the topic.

The objective of the study is to analyze the publications on the treatment for crowe type IV hip dislocations using total replacement of the hip joint (HJ) with subtrochanteric shortening osteotomy.

The hypothesis of the study was as follows: the method of fixation of the femoral component, the type of osteotomy and the design features of the implant (philosophy) are the factors that determine the effectiveness of the operation. The electronic databases eLIBRARY and PubMed were searched for publications containing keywords in Russian or English: high dislocation of the hip, total replacement of the Hj, shortening subtrochanteric osteotomy. As a result of the study, the proposed hypothesis was partially confirmed. There were only minor differences in the overall incidence of complications and the survivorship of implants when using different types of cementless stems. The incidence of non-unions after the installation of cemented femoral components was higher than with the implantation of cementless. We did not find convincing evidence of the advantage of the step-cut, V-shaped and oblique osteotomies compared with the transverse osteotomy. Typical complications for such operations were the nerve injuries, intraoperative hip fractures, dislocations and non-unions of the femur at the osteotomy site.

About the authors

A. S. Tryapichnikov

Ilizarov Russian Scientific Center «Restorative Traumatology and Orthopedics»

Author for correspondence.
Email: pich86@bk.ru

Aleksandr S. Tryapichnikov — cand. Sci. (Med.),junior researcher, Laboratory for Reconstructive J oint Replacements and Arthroscopy.

Kurgan Russian Federation

B. V. Kamshilov

Ilizarov Russian Scientific Center «Restorative Traumatology and Orthopedics»

Email: fake@neicon.ru

Boris V. Kamshilov — cand. Sci. (Med.), head, Department of Traumatology and orthopedics N 7.

Kurgan

Russian Federation

O. K. Chegurov

Ilizarov Russian Scientific Center «Restorative Traumatology and Orthopedics»

Email: fake@neicon.ru

Оleg K. Chegurov — Dr. Sci. (Med.), head, Department of Traumatology and orthopedics N 16.

Kurgan

Russian Federation

O. P. Zaytseva

Ilizarov Russian Scientific Center «Restorative Traumatology and Orthopedics»

Email: fake@neicon.ru

Olga P Zaytseva — cand. Sci. (Med.), orthopedic surgeon, Department of Traumatology and orthopedics N 7.

Kurgan

Russian Federation

A. M. Ermakov

Ilizarov Russian Scientific Center «Restorative Traumatology and Orthopedics»

Email: fake@neicon.ru

Artem M. Ermakov — cand. Sci. (Med.), orthopedic surgeon, Bone Infection Department N 1.

Kurgan

Russian Federation

References

  1. Krych A.J., Howard J.L., Trousdale R.T., Cabanela M.E., D.J. Berry. Total hip arthroplasty with subtrochanteric s osteotomy in Crowe type-IV developmental dysplasia. J Bone Joint Surg Am. 2009;91(9):2213-2221. doi: 10.2106/JBJS.H.01024.
  2. Engesaeter L. B., Fumes O., Havelin L.I. Developmental dysplasia of the hip--good results of later total hip arthroplasty: 7135 primary total hip arthroplasties after developmental dysplasia of the hip compared with 59774 total hip arthroplasties in idiopathic coxarthrosis followed for 0 to 15 years in the Norwegian Arthroplasty Register. J Arthroplasty. 2008;23(2):235-240. doi: 10.1016/j.arth.2007.03.023.
  3. Zhu J., Shen C., Chen X., Cui Y., Peng J., Cai G. Total hip arthroplasty with a non-modular conical stem and transverse subtrochanteric osteotomy in treatment of high dislocated hips. J Arthroplasty. 2015;(30):611-614. OI: 10.1016/j.arth.2014.11.002.
  4. Oinuma K., Tamaki T., Muiura Y., Kaneyama R., Shiratsuchi H. Total hip arthroplasty with subtrochanteric shortening osteotomy for Crowe grade 4 dysplasia using the direct anterior approach. J Arthroplasty. 2014;29(3):626-629. doi: 10.1016/j.arth.2013.07.038.
  5. Yan F., Chen G., Yang L., He R., Gu L., Wang F. A reduction technique of arthroplasty without subtrochanteric femoral shortening osteotomy for the treatment of developmental high dislocation of hip: a case series of 28 hips. J Arthroplasty. 2014; 29(12):2289-2293. doi: 10.1016/j.arth.2013.11.016.
  6. Binazzi R. Two-stage progressive femoral lowering followed by cementless total hip arthroplasty for treating crowe IV-Hartofilakidis type 3 developmental dysplasia of the hip. J Arthroplasty. 2015;30(5):790-796. doi: 10.1016/j.arth.2014.12.019.
  7. Чегуров O.K., Нифтуллаев Е.Г. Лечение больной с врожденным вывихом бедра методом реконструктивного эндопротезирования. Гений ортопедии. 2013;(3):10-20.
  8. Волокитина E.A. История развития и возможности реконструктивного эндопротезирования во ФГУ РНЦ «ВТО» им акад. Г.А. Илизарова. Гений ортопедии. 2008;(4) :10-20.
  9. Lai K.A., Shen W.J., Huang L.W., Chen M-Y. Cementless total hip arthroplasty and limb-length equalization in patients with unilateral Crowe type-IV hip dislocation. J Bone Joint Surg Am. 2005;87(2):339-345. doi: 10.2106/JBJS.D.02097.
  10. P. Lei., Y. Hu., P. Cai., J. Xie., X. Yang., L. Wang. Greater trochanter osteotomy with cementless THA for Crowe type IV DDH. Orthopedics. 2013; 36(5): 601-605.
  11. Тихилов Р.М., Мазуренко А.В., Шубняков И.И., Денисов А.О., Близнюков В.В, Билык C.C. Результаты эндопротезирования тазобедренного сустава с укорачивающей остеотомией по методике T. Paavilainen при полном вывихе бедра. Травматология и ортопедия России. 2014;(1):5-15. doi: 10.21823/2311-2905-2014-0-1-5-15.
  12. Rollo G., Solarino G., Vicenty G., Picca G., M. Garrozzo, B. Moretti. Subtrochanteric femoral shortening osteotomy combined with cementless total hip replacement for Crowe type IV developmental dysplasia: a retrospective study. J Orthop Traumatol. 2017.18(4):407-413. doi: 10.1007/s10195-017-0466-7.
  13. Makita H., Inaba Y., Hirakawa K., Saito T. Results on total hip arthroplasties with femoral shortening for crowe’s group IV dislocated hips. J Arthroplasty. 2007;(22):32-38. doi: 10.1016/j.arth.2006.02.157.
  14. Eskelinen A., Rеmes V., Ylinеn R., Hеlenius I., Tаllroth K., Рааvilainen T. Cementless total hip arthroplasty in patients with severely dysplastic hips and a previous Schanz osteotomy of the femur. Acta Orthop. 2009;80(3):263-269. doi: 10.3109/17453670902967273.
  15. Howie C.R., Ohly N.E., Miller B. Cemented total hip arthroplasty with subtrochanteric osteotomy in displastyc hips. Clin Orthop Relat Res. 2010; 486(12):3240-3247. doi: 10.1007/s11999-010-1367-8.
  16. Mu W., Yang D., Xu B., Mamtimin A., Guo W., Cao L. Midterm outcomes of cementless total hip arthroplasty in Criowe IV-Hartofilakidis III developmental dysplasia of the hip. J Arthroplasty. 2016;31(3):668-675. doi: 10.1016/j.arth.2015.10.011.
  17. Eid A., El-Ganzouru I., Bassiony A. Total hip arthroplasty with subtrochanteric osteotomy in neglected dysplastic hip. Int Orthop. 2015;(39):27-33. doi: 10.1007/s00264-014-2554-0.
  18. Charity J.A., Tsiridis E., Sheeraz A., Howell J.R., Hubble M., Timperley A., Gie G. Treatment of Crowe IV high hip dysplasia with total hip replacement using the Exeter stem and shortening derotational subtrochanteric osteotomy. J Bone Joint Surg Br. 2011;93(1):34-38.
  19. Reikeraas O., Haaland J.E., Lereim P. Femoral shortening in total hip arthroplasty for high developmental dysplasia of the hip. Clin Orthop Relat Res. 2010; 468(7):1949-1955. doi: 10.1007/s11999-009-1218-7.
  20. Akiyama H., Kawanabe K., Yamamoto K., Kuroda Y., So K., Goto K., Nakamura T. Cemented total hip arthroplasty with subtrochanteric femoral shortening transverse osteotomy for severely dislocated hips: outcome with a 3-to 10-year follow-up period. J Orthop Sci. 2011;16(3):270-277. doi: 10.1007/s00776-011-0049-z.
  21. Sener M., Tozun R., A§ik M. Femoral shortening and cementless arthroplasty in high congenital dislocation of the hip. J Arthroplasty. 2002;17(1):41-48.
  22. Kawai T., Tanaka C., Ikenaga M., Kanoe H. Cemented total hip arthroplasty with transverse subtrochanteric shortening osteotomy for Crowe group IV dislocated hip. J Arthroplasty. 2011;26(2):229-235. doi: 10.1016/j.arth.2010.03.029.
  23. Oe K., Iida H., Nakamura T., Okamoto N., Wada T. Subtrochanteric shortening osteotomy combined with cemented total hip arthroplasty for Crowe group IV hips. Arch Orthop Trauma Surg. 2013;133(12):1763-1770. doi: 10.1007/s00402-013-1869-4.
  24. Tacao M., Ohzono K., Nishii T., Miki H., Nokamura N., Sugano N. Cementless modular total hip arthroplasty with subtrochanteric shortening osteotomy for hips with developmental dysplasia. J Bone Joint Surg Am. 2011; 93(6):548-555.
  25. Bruce W.J. M., Rizkallan S.M., Kwon Y.M., Goldberry J.A., Walsh W.R. A new technique of subtrochanteric shortening in total hip arthroplasty. J Arthroplasty. 2000;15(5):617-626.
  26. Sofu H., Kockara N., Gursu S., Issin A., Sahin V. Transverse subtrochanteric shortening osteotomy during cementless total hip arthroplasty in crowe type-III or IV developmental dysplasia. J Arthroplasty. 2015; 30(6):1019-1023. doi: 10.1016/j.arth.2015.01.045.
  27. Ozan F., Uzun E., Gurbuz K., Kayuncu §., Altay T., Kayali C. Total hip arthroplasty in the developmental dysplasia of the hip using transverse subtrochanteric osteotomy. J Orthop. 2016;(13):259-263. doi: 10.1016/j.jor.2016.06.010.
  28. Kiliçoğlu Oi1, Türker M, Akgül T, Yazicioğlu O.Cementless total hip arthroplasty with modified oblique femoral shortening osteotomy in Crowe type IV congenital hip dislocation. J Arthroplasty. 2013;28(1):117-125. doi: 10.1016/j.arth.2012.06.014.
  29. Erdemli B., Yilmaz C., Atalar H., Guzel B., Cetin I. Total hip arthroplasty in developmental high dislocation of the hip. J Arthroplasty. 2005;20(8):1021-1028.
  30. Papachristou G., Hatzigrigoris P., Panousis K., Plessas S., Sourlas J., Levidiotis C., Chronopoulos E. Total hip arthroplasty for developmental hip dysplasia. Int Orthop. 2006;30(1):21-25. doi: 10.1007/s00264-005-0027-1.
  31. Masonis J. L., Patel J. V., Miu A., Bourne R., Mccalden R., Mcdonald S., Rorabeck C. Subtrochanteric shortening and derotational osteotomy in primary total hip arthroplasty for patients with severe hip dysplasia: 5-year follow-up. J Arthroplasty. 2003;18(3 Suppl 1): 68-73. doi: 10.1054/arth.2003.50104.
  32. Can A., Sarikaya I.A., Yontar N.S., Erdogan A.O., Gorgun B., Erdogan F. High-Riding congenital hip dislocation: THA with unilateral vs bilateral transverse femoral shortening osteotomy. J Arthroplasty. 2018;33(5):1432-1436. doi: 10.1016/j.arth.2017.11.067.
  33. Ollivier M., Abdel M.A., Krych A.J., Trousdale R.T., Berry D.J. Long-term results of total hip arthroplasty shortening subtrochanteric osteotomy in Crowe IV developmental dysplasia. J Arthroplasty. 2016;31(8):1756-1760.
  34. Park M.S., Kim K.H., Jeong W.C. Transverse subtrochanteric shortening osteotomy in primary total hip arthroplasty for patients with severe hip developmental dysplasia. J Arthroplasty. 2007;22(7): 1031-1036. doi: 10.1016/j.arth.2007.05.011
  35. Bernasek T.L., Haidukewych G.J., Gustke K.A., Hill O., Levering M. Total hip arthroplasty requiring subtrochanteric osteotomy for developmental hip dysplasia. J Arthroplasty. 2007;22(6 Suppl 2):145-150. doi: 10.1016/j.arth.2007.05.014.
  36. Altay M., Demirkale I., Çatma M.F., Şeşen H., Ünlü S., Karaduman M. Results of Crowe Type IV developmental dysplasia of hip treated by subtrochanteric osteotomy and total hip arthroplasty. Indian J Orthop. 2018;52(4): 374-379. doi: 10.4103/ortho.ijortho_445_16.
  37. Neumann D., Thaler C., Dorn U. Femoral shortening and cementless arthroplasty in crowe type 4 congenital dislocation of the hip. Int Orthop. 2012; 36(3).499-503. doi: 10.1007/s00264-011-1293-8.
  38. Zeng W.N., Liu J.L., Wang F.Y., Zhang X., Fan H. Q., Chen G.X. et al. Total hip arthroplasty for patients with Crowe type IV developmental dysplasia of the hip: Ten years results. Int J Surg. 2017;42:17-21. doi: 10.1016/j.ijsu.2017.04.029.
  39. Li L., Yu M, Yang C., Gu G. Total hip arthroplasty (S-ROM stem) and subtrochanteric osteotomy for Crowe type IV developmental dysplasia of the hip. Indian J Orthop. 2016; 50(2):195-200. doi: 10.4103/0019-5413.177575.
  40. Zhong C., Cai X.Z, Yan S.G., He R.X. S-ROM modular arthroplasty combined with transverse subtrochanteric shortening for Crowe type IV congenital dislocation of hip. Chin Med J (Engl). 2011;124(23):3891-3895.
  41. Onodera S., Majima T., Ito H., Matsuno T., Kishimoto T., Minami A. Cementless total hip arthroplasty using the modular S-ROM prosthesis combined with corrective proximal femoral osteotomy. J Arthroplasty. 2006;21(5). 664-669. doi: 10.1016/j.arth.2005.08.016.
  42. Shrinivasan A., Jung E., Levine B.R. Modularity of the femoral component in total hip arthroplasty. J Am Acad Orthop Surg. 2012;20(4):214-222. doi: 10.5435/JAAOS-20-04-214.
  43. Тихилов Р.М., Шубнякови.И., Коваленко A.H., Цыбин А.В., Румакин В.П. Болевой синдром у пациента после эндопротезирования с применением модульного бедренного компонента (клинический случай). Травматология и ортопедия России. 2014;(4):77-84. doi: 10.21823/2311-2905-2014-0-4-47-56.
  44. Zagra L., Bianchi L., Mondini A., Ceroni R.G. Oblique femoral shortening osteotomy in total hip arthroplasty for high dislocation in hip with dysplasia. Int Orthop. 2015;39(9):1797-1802. DOI. 10.1007/ s00264-015-2865-9.
  45. Muratli K.S., Karatosun V., Usun B., Celik S. Subtrochanteric shortening in total hip arthroplasty: biomechanical comparison of four techniques. J Arthroplasty. 2014;29(4); 836-842. doi: 10.1016/j.arth.2013.09.004.
  46. Yildiz F., Krligoglu O., Dikmen G., Bozdag E., Sunbuloglu E., Tuna M. Biomechanical comparison of oblique and step-cut osteotomies used in total hip arthroplasty with femoral shortening. J Orthop Sci. 2016;21(5):640-646. doi: 10.1016/j.jos.2016.04.015.
  47. Юсупов К.С., Павленко H.H., Летов А.С., Сертакова А.В., Воскресенский О.Ю., Анисимова Е.А. Тактика бесцементного тотального эндопротезирования тазобедренного сустава у пациентов с высоким врожденным вывихом бедра. Российский медицинский журнал. 2017;23(3):127-131. doi: 10.18821/0869-2106-2017-23-3-127-131.
  48. Markel M. D., Gottsauner-Wolf F., Rock M.G., Frassica F.J., Chao E.Y.S Mechanical characteristics of proximal femoral reconstruction after 50% resection. J Orthop Res. 1993;11(3):339-349. doi: 10.1002/jor.1100110305.
  49. Markel M.D., Wood S.A., Bogdansce J.J., Rapoff A.J., Kalsheur V.L., Bouvy V.M. et al. Comparison of allograft/ endoprosthetic composites with a step-cut or transverse osteotomy configuration. J Orthop Res. 1995;13(4):639-641. doi: 10.1002/jor.1100130421.
  50. Cascio B.M., Thomas K.A., Wilson S.C. A mechanical comparison and review of transverse, step-cut, and sigmoid osteotomies. Clin Orthop Relat Res. 2003;(411). 296-304. doi: 10.1097/01.blo.0000069895.31220.e8.
  51. Hasegawa Y., Iwase T., Kanoh T., Seki T., Matsuoka A. Total hip arthroplasty for Crowe type IV developmental dysplasia. J Arthroplasty. 2012;27(9):1629-1635. doi: 10.1016/j.arth.2012.02.026.
  52. Dallary D., Pignatti G., Stagni C., Giavaresi G., Del Piccolo N., Rani N. Et al. Total hip arthroplasty with shortening osteotomy in congenital major hip dislocation sequelae. Orthopedics. 2011;34(8):е328-333. doi: 10.3928/01477447-20110627-14.
  53. Li, C., Zhang, C., Zhang, M., & Ding, Y. Comparison of transverse and modified subtrochanteric femoral shortening osteotomy in total hip arthroplasty for developmental dysplasia of hip: a metaanalysis. BMC Musculoskelet Disord. 2014;15:331. doi: 10.1186/1471-2474-15-331.
  54. Полулях М.В., Герасименко C.I., Полулях Д.М. Oсобливостi ендопротезування кульшового суглоба за умов вродженого вивиху стегна в дорослих. Ортопедия, травматология и протезирование. 2016; (1):10-14.
  55. Thilemann T.M., Pedersen A.B., Johnsen S.P., Søballe K. Inferior outcome after intraoperative femoral fracture in total hip arthroplasty: outcome in 519 patients from the Danish Hip Arthroplasty Registry. Acta Orthop. 2008; 79(3):327-334. doi: 10.1080/17453670710015210.
  56. Павлов В.В., Шнайдер Л.С., Голенков О.И. Алгоритм выбора метода обработки бедренной кости при эндопротезировании тазобедренного сустава на фоне дисплазии Crowe IV cr. Современные проблемы науки и образования. 2016;(6):16-20. Available from: https:// www.science-education.ru/ru/article/view?Id=25600.

Copyright (c)



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies