Long-term Results of Total Hip Arthroplasty with Shortening Subtrochanteric Osteotomy in Crowe IV Developmental Dysplasia

• Published in: The Journal of arthroplasty 2016-08, Vol.31 (8), p.1756-1760
• Main Authors: Ollivier, Matthieu, MD, Abdel, Matthew P., MD, Krych, Aaron J., MD, Trousdale, Robert T., MD, Berry, Daniel J., MD
• Format: Article
• Language: English
• Subjects: Adult; Aged; Arthroplasty, Replacement, Hip - statistics & numerical data; Biomechanics; developmental dysplasia of the hip; Female; Femur - surgery; Hip Dislocation, Congenital - surgery; Hip Joint - diagnostic imaging; Human health and pathology; Humans; Life Sciences; long-term survivorship; Male; Mechanics; Middle Aged; Orthopedics; Osteotomy - methods; Osteotomy - statistics & numerical data; Physics; Radiography; Reoperation; Retrospective Studies; shortening subtrochanteric osteotomy; Surgery; total hip arthroplasty
• ISSN: 0883-5403; 1532-8406
• DOI: 10.1016/j.arth.2016.01.049

Abstract Background Numerous series have documented short-term successes with cementless Total Hip arthroplasty and subtrochanteric shortening osteotomy for Crowe IV Developmental Dysplasia of the hip (DDH). However data are lacking regarding long-term implant fixation and patient function. In this study, we aimed to evaluate the ten-year results of cementless THA with simultaneous subtrochanteric shortening osteotomy for Crowe IV DDH. Methods We retrospectively reviewed twenty-eight consecutive primaries cementless THAs performed in twenty-four patients with Crowe IV DDH between 1992 and 2005. Evaluation was done through Harris Hip Scores (HHS), physical examination and radiographic analysis. Results At mean follow-up ten years 5 hips were revised and 3 patients had died leaving 20 hips for clinical analysis. HHS was significantly improved compared to preoperative values (43 vs 87 p