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Archives of Orthopaedic and Trauma Surgery

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Open Access 01-12-2013 | Hip Arthroplasty

Subtrochanteric shortening osteotomy combined with cemented total hip arthroplasty for Crowe group IV hips

Authors: Kenichi Oe, Hirokazu Iida, Tomohisa Nakamura, Naofumi Okamoto, Takahiko Wada

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 12/2013

Abstract

Background

Total hip arthroplasty (THA) is a challenging surgical procedure that can be used to treat severely dislocated hips. There are few reports regarding cemented THAs involving subtrochanteric shortening osteotomy (SSO), even though cemented THAs provide great advantages because the femur is generally hypoplastic with a narrow, deformed canal.

Purposes

We evaluated the utility of cemented THA with SSO for Crowe group IV hips, and assessed the relationship between leg lengthening and nerve injury. Our goal was to describe surgical techniques for optimizing surgical outcomes while minimizing the risk of nerve injury.

Methods

We retrospectively reviewed 34 cases of cemented THAs with transverse SSO for Crowe group IV. Prior to surgery, mean hip flexion was 93.1° (40°–130°). The mean follow-up period was 5.2 years (3–10 years).

Results

Bone union took an average of 7.7 months (3–24 months). Mean leg lengthening was 40.5 mm (15–70 mm) and was greater in patients without hip flexion contracture. None of the patients experienced any nerve injuries associated with leg lengthening, and radiographic evidence of loosening was not observed at the final follow-up.

Conclusions

SSO combined with cemented THA is an effective treatment for severely dislocated hips. Leg lengthening is not necessarily associated with nerve injuries, and the likelihood of this surgical complication may be related to the presence of hip flexion contracture.

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Title: Subtrochanteric shortening osteotomy combined with cemented total hip arthroplasty for Crowe group IV hips
Authors: Kenichi Oe
Hirokazu Iida
Tomohisa Nakamura
Naofumi Okamoto
Takahiko Wada
Publication date: 01-12-2013
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 12/2013
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-013-1869-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Subtrochanteric shortening osteotomy combined with cemented total hip arthroplasty for Crowe group IV hips

Abstract

Background

Purposes

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Purposes

Methods

Results

Conclusions

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