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Published in: International Orthopaedics 12/2018

01-12-2018 | Original Paper

Coronal plane alignment of the lower limbs in patients with unilateral developmental hip dislocation

Authors: Zhendong Zhang, Hong Zhang, Dianzhong Luo, Hui Cheng, Kai Xiao, Shuxun Hou

Published in: International Orthopaedics | Issue 12/2018

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Abstract

Purpose

We aimed to identify the coronal plane alignment of lower limbs in patients with unilateral developmental hip dislocation (UDHD) and observe the difference between Hartofilakidis type II and III.

Patients and methods

The radiographic data of 76 patients who met the inclusion criteria were retrospectively reviewed, including the hip-knee-ankle angle (HKA), mechanical lateral distal femoral angle (mLDFA), anatomical lateral distal femoral angle (aLDFA), mechanical proximal tibial angle (MPTA), and lateral distal tibial angle (LDTA).

Results

The valgus alignment on ipsilateral side was most frequently seen in both Hartofilakidis type II (51.3%) and type III groups (67.6%), whereas for the contralateral side, the neutral alignment in type II group (69.2%) and varus alignment in type III group (51.4%) were most commonly observed. Both the mLDFA and aLDFA of the ipsilateral side were significantly smaller than the contralateral side.

Conclusions

UDHD patients may present with lower limb malalignment on both sides. The ipsilateral valgus alignment is the most common deformity. On the contralateral side, Hartofilakidis type III patients may be more prone to be varus than type II patients. The lower limb malalignment and deformity of the ipsilateral distal femur should be considered during surgery involving hip, knee, or femur.
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Metadata
Title
Coronal plane alignment of the lower limbs in patients with unilateral developmental hip dislocation
Authors
Zhendong Zhang
Hong Zhang
Dianzhong Luo
Hui Cheng
Kai Xiao
Shuxun Hou
Publication date
01-12-2018
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 12/2018
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-018-3813-2

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