FEATURES OF THA IN PATIENTS WITH HIGH CONGENITAL HIP DISLOCATION

封面


如何引用文章

全文:

详细

There are a fair number of papers presenting the outcomes of total hip arthroplasty with shortening subtrochanteric osteotomy in neglected hip dislocation. In most of them the authors used long modular stems or Wagner stems as a femoral component. The reports describing the outcomes of such procedures with standard femoral stems are rather rare.

The purpose of this study was to evaluate short-term and medium-term outcomes of total hip arthroplasty with standard femoral stems and shortening subtrochanteric osteotomy for treatment of high hip dislocation.

Materials and methods. From 2010 to 2016 the authors performed 18 hip arthroplasties with shortening subtrochanteric osteotomy in 16 patients with high hip dislocation. All patients were clinically evaluated using Harris Hip Score and radiography prior to and after the surgery.

Results. The mean Harris Hip Score significantly improved compared to preoperative values from 39.7±1.4 to 84.7±1.6. At mean follow-up of 24±2.4 mounts the authors observed 2 case of nonunion at osteotomy site and 1 case of transient nerve palsy. Revision surgery was performed in 2 patients due to nonunion. The mean limb lengthening was 3.65±0.21 cm.

Conclusion. Our data demonstrated that total hip arthroplasty with subtrochanteric osteotomy is an effective technique for treatment of Crowe type III-IV congenital hipdislocation with high rate of successful fixation on the typical femoral stem, healing of osteotomy site and satisfactory shortand medium-term clinical outcomes. The non-modular tapered stem provides sufficient stability in distal and proximal parts of the femur. The use of standard tapered stem allows to achieve good healing rates of the osteotomy.

作者简介

B. Kamshilov

Ilizarov Russian Scientific Center “Restorative Traumatology and Orthopedics”

Email: fake@neicon.ru

Boris V. Kamshilov — Cand. Sci. (Med.), Head of Department of Traumatology and Orthopedics N 7.

6, ul. M. Ulyanova, Kurgan, 640014 俄罗斯联邦

A. Tryapichnikov

Ilizarov Russian Scientific Center “Restorative Traumatology and Orthopedics”

编辑信件的主要联系方式.
Email: pich86@bk.ru

Aleksandr S. Tryapichnikov — Cand. Sci. (Med.), Junior Researcher, Laboratory for Reconstructive Joint Replacements and Arthroscopy.

6, ul. M. Ulyanova, Kurgan, 640014 俄罗斯联邦

О. Chegurov

Ilizarov Russian Scientific Center “Restorative Traumatology and Orthopedics”

Email: fake@neicon.ru

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

6, ul. M. Ulyanova, Kurgan, 640014

俄罗斯联邦

A. Zhdanov

Ilizarov Russian Scientific Center “Restorative Traumatology and Orthopedics”

Email: fake@neicon.ru

Aleksey S. Zhdanov — Head of Department of Traumatology and Orthopedics N 2.

6, ul. M. Ulyanova, Kurgan, 640014 俄罗斯联邦

О. Zaitseva

Ilizarov Russian Scientific Center “Restorative Traumatology and Orthopedics”

Email: fake@neicon.ru

Ol’ga P. Zaitseva — Orthopedic Surgeon, Department N 7.

6, ul. M. Ulyanova, Kurgan, 640014

俄罗斯联邦

参考

  1. Павлов В.В., Шнайдер Л.С., Голенков О.И. Алгоритм выбора метода обработки бедренной кости при эндопротезировании тазобедренного сустава на фоне дисплазии Crowe IV cт. Современные проблемы науки и образования. 2016;(6). Режим доступа: https://www.science-education.ru/ru/article/view?id=25600. Pavlov V.V., Shnaider L.S., Golenkov O.I. [The selection algorithm of femur processing of hip-joint on the dysplasia Crowe IV]. Sovremennye problemy nauki i obrazovaniya [Modern problems of science and education]. 2016;(6). Available at: https://www.science-education.ru/ru/article/view?id=25600.
  2. Полулях М.В., Герасименко С.I., Полулях Д.М. Особливости ендопротезировання кульшового суглоба заумо вврожденного вивиху стегна в дорослих. Ортопедия, травматология и протезирование. 2016;(1):10-14. doi: 10.15674/0030-59872016110-14. Poluliakh M.V., Gerasimenko S.I., Poluliakh D.M. [The peculiarities of arthroplasty under the conditions of congenital hip dislocation in adult]. Ortopediya, travmatologiya i protezirovanie [Orthopаedics, traumatology and prosthetics]. 2016;(1):10-14. (in Ukraine). doi: 10.15674/0030-59872016110-14.
  3. Тихилов Р.М., Мазуренко А.В., Шубняков И.И., Денисов А.О., Близнюков В.В, Билык С.С. Результаты эндопротезирования тазобедренного сустава с укорачивающей остеотомией по методике T. Paavilainen при полном вывихе бедра. Травматология и ортопедия России. 2014;(1):5-15. Tikhilov R.M., Mazurenko A.V., Shubnjakov I.I., Denisov A.O., Bliznyukov V.V., Bilyk S.S. [Results of hip arthroplasty using Paavilainen technique in patients with congenitally hip dislocated]. Travmatologiya i ortopediya Rossii [Traumatology and orthopedics of Russia]. 2014;(1):5-15.
  4. 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 3to 10-year follow-up period. J Orthop Sci. 2011;(16):270-277.
  5. Eskelinen A., Rеmes V., Ylinеn R., Неlenius 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.
  6. Wang D., Li L-.L., Wang F.-Y., Pei F.-X., Zhou Z.-Y. Longterm results of cementless total hip arthroplasty with shortening subtrochanteric osteotomy in Crowe IV developmental dysplasia. J Arthrop. 2016;15. doi: 10.1016/j.arth.2016.11.005.
  7. 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.
  8. 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(4):611-614. doi: 10.1016/j.arth.2014.11.002.
  9. Huo M.H., Zatorsky L.E., Keqqi K.J. Oblique femoral osteotomy in cementless total hip arthroplasty. Prospective consecutive series with a 3-year minimum follow-up period. J Arthroplasty. 1995;10(3): 319-327.
  10. Мазуренко А.В., Тихилов Р.М., Шубняков И.И., Николаев Н.С., Плиев Д.Г., Близнюков В.В. Оценка возможности восстановления длинны конечности у пациентов с тяжелой степенью дисплазии тазобедренного сустава при различных вариантах хирургической техники эндопротезирования. Травматология и ортопедия России. 2010;(3):16-20. Mazurenko A.V., Tikhilov R.M., Shubnyakov I.I., Nikolaev N.S., Pliev D.G., Bliznyukov V.V. [Evaluation of the possibility of restoration of leg length in patients with severehip dysplasia in different variants of surgical technique of hip replacement]. Travmatologiya i ortopediya Rossii [Traumatology and orthopedics of Russia]. 2010;(3):16-20.
  11. Park M.-S., Kim K.-H., Jeong W.-Ch. 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.
  12. Норкин И.А., Анисимова Е.А., Воскресенский О.Ю., Юсупов К.С., Анисимов Д.И., Летов А.С., Попрыга Д.В., Попов А.Н. Морфометрическое обоснование алгоритма выбора метода хирургического лечения диспластического коксартроза. Саратовский научно-медицинский журнал. 2015; 11(2):182-186. Norkin I. A., Anisimova E.A., Voskresenskii O.Yu., Yusupov K.S., Anisimov D.I., Letov A.S. et al. [Morphometric justification of algorithm of the choise of method of surgical treatment of dysplastic coxarthrosis]. Saratovskiy nauchno-medicinskiy zhurnal [Saratov Journal of Medical Scientific Research]. 2015;11(2):182-186.
  13. Ozan F., Uzun E., Gurbuz K., Kayuncu S., Altay T., Kayali C. Total hip arthroplasty in the developmental dysplasia of the hip using transverse subtrochanteric osteotomy. J Orthop. 2016;13(4):259-263. doi: 10.1016/j.jor.2016.06.010.
  14. Tozun R., Beckas B., Sener N. [Total hip arthroplasty in the treatment of developmental dysplasia of the hip]. Acta Orthop Traumatol Turc. 2007;41(Suppl 1):80-86. (in Turkish).
  15. Paavilainen T., Hoikka V., Paaovolainen P. Cementless total hip arthroplasty for congenitally dislocated or dysplastic hips. Technique for replacement with a straight femoral component. Clin Orthop Relat Res.1993;(297):71-81.
  16. Hasegawa Y., Iwase T., Kanoh T., Seki T., Matsuoka A. Total hip arthroplasty for Crowe developmental dysplasia. J Arthroplasty. 2012;(27):1629-1635.
  17. Thorup B., Mechlenburg I., Soballe K. Total hip replacement in the congenitally dislocated hip using the Paavilainen technique. Acta Orthop.2009;80(3):259-262. doi: 10.3109/17453670902876789.
  18. Kоulоuvаris P., Stаfylаs K., Sсulсо T., Xуеnakis T. Distal femoral shortening in total hip arthroplasty for complex primary hip reconstruction. A new surgical technique. J Arthroplasty. 2008;23(7):992-998. doi: 10.1016/j.arth.2007.09.013.
  19. Ахмедов Б.Г., Ткачев А.А., Чилилов А.А. Корригирующая остеотомия бедренной кости в комплексном лечении пациентов с высоким вывихом бедренной кости. Высокотехнологичная медицина. 2016;(4):20-28. Akhmedov B.G., Tkachev A.A., Chililov A.M. [Distal femoral varus osteotomies and hip artroplasty in patient swith hip high dislocation and valgus malalignment in the knee joint]. Vysokotehnologichnaya medicina [The High-Tech Medicine]. 2016;(4):20-28.
  20. 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.
  21. 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 Arthrop. 2016;31(8): 1756-1760. doi: 10.1016/j.arth.2016.01.049.
  22. Sofu H., Kockara N., Gursu S., Issin A., Sahin V. Transverse subtrochanteric shortening osteotomy during cementless total hip arthroplasty in Crowe type 3 or 4 developmental dysplasia. J Arthroplasty. 2015;30(6):1019-1023. doi: 10.1016/j.arth.2015.01.045.
  23. Yalcin N., Kilisarslan K., Karatas F., Mutlu T., Yildirim H. Сementless total hip arthroplasty with subtrochanteric transverse shortening osteotomy for severely dysplastic hips. Hip Int. 2010;20(1):87-93.
  24. Kilicoglu O., Turker M., Akgul T., Yazicioglu 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.
  25. Sener M., Tozun R., Asik M. Femoral shortening and cementlessarthroplasty in high congenital dislocation of the hip. J Arthroplasty. 2002;17(1): 41-48.
  26. BruceW.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.
  27. 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.
  28. Becker D.A., Gustilo R.B. Double-chevron subtrochanteric shortening derotational femoral osteotomy combined with total hip arthroplasty for the treatment of complete congenital dislocation of the hip in the adult. Preliminary report and description of a new surgical technique. J Arthroplasty. 1995;10(3): 313-318.
  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. doi: 10.1016/j.arth.2005.02.003.
  30. Yildiz F., Kilicoglu O., Dikmen G., Bozdag E., Sunbuloglu E. 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.

补充文件

附件文件
动作
1. JATS XML
下载

版权所有 © ,


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 82474 от 10.12.2021.


##common.cookie##