High-Riding Congenital Hip Dislocation: THA With Unilateral vs Bilateral Transverse Femoral Shortening Osteotomy
| Autor: | Ata Can, Necip Selçuk Yontar, Baris Gorgun, Ayse Ovul Erdogan, Fahri Erdogan, İlker Abdullah Sarıkaya |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual Analog Scale Visual analogue scale Arthroplasty Replacement Hip medicine.medical_treatment Osteotomy Osteoarthritis Hip Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine In patient Femur Postoperative Period 030212 general & internal medicine Hip Dislocation Congenital Pain Measurement Retrospective Studies Shortening osteotomy 030222 orthopedics business.industry Significant difference Length of Stay Middle Aged Surgery Harris Hip Score Female business Hospital stay Total hip arthroplasty |
| Zdroj: | The Journal of Arthroplasty. 33:1432-1436 |
| ISSN: | 0883-5403 |
| Popis: | Background We argue that 1-stage bilaterally total hip arthroplasty (THA) could be acceptable in bilateral coxarthrosis because of high-riding developmental dysplasia of the hip (DDH). Methods Sixty-nine cases (51 patients) of high-riding DDH in patients who underwent THA from 2010 to 2013 were reviewed. Patients were divided into 2 groups: unilateral (group 1) and 1-stage bilateral surgery (group 2). The clinical measurements were the visual analog scale and Harris Hip Score. Results The average follow-up was 37.3 months for group 1 and 38.8 months for group 2. The hospital stay time was 5.2 days in group 1 and 6.2 days in group 2 (P = .334). The mean Harris Hip Score and visual analog scale score were improved significantly after surgery for both groups, and there was no statistically significant difference (P = .988). There was no difference between groups 1 and 2 in terms of complications (P = .137). Conclusion Our data confirm that 1-stage bilateral transverse osteotomy with THA is an effective method as unilateral and it does not increase the length of patients' hospital stays and features a low risk of postoperative complications in the treatment of patients with high-riding DDH. |
| Databáze: | OpenAIRE |
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