| Autor: |
Silva P; Hospital Geral de Goiânia, Goiânia, GO, Brazil., de Oliveira LA; Hospital Geral de Goiânia, Goiânia, GO, Brazil., Coelho DL; Hospital Geral de Goiânia, Goiânia, GO, Brazil., do Amaral RA; Hospital Geral de Goiânia, Goiânia, GO, Brazil., Rebello PR; Hospital Geral de Goiânia, Goiânia, GO, Brazil., de Moraes FB; Clínica de Ortopedia e Traumatologia, Goiânia, GO, Brazil. |
| Abstrakt: |
To describe a new procedure of total hip replacement in patient with severe developmental dysplasia of the left hip, using technique of acetabular reconstruction with autogenous bone grafts and subtrochanteric shortening femoral osteotomy. Total hip replacement done in January of 2003. The Eftekhar's classification was used and included type D, neglected dislocations. Bone graft incorporated in acetabular shelf and femoral osteotomy. Our contribution is the use of an Allis plate to better fix acetabular grafts, avoiding loosening, and cerclage around bone graft in femoral osteotomy site, which diminish pseudoarthrosis risk. This technique shows efficiency, allowing immediately resolution for this case with pain and range of motion of hip improvement. It also allows the acetabular dysplasia reconstruction, equalization of the limb length (without elevated risk of neurovascular lesion) and repairs the normal hip biomechanics due to the correction of the hip's center of rotation. |
