Medium- to long-term clinical efficacy of total hip arthroplasty with structural bone grafting for dysplasia of the hip

Background Patients with dysplasia of the hip (DDH) have different degrees of bone defects above and outside the acetabulum, and anatomically reconstructing the acetabular centre of rotation is difficult in primary total hip arthroplasty (THA). Methods From April 2012 to December 2022, 64 patients (...

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Bibliographic Details
Published in:International orthopaedics 2024-10, Vol.48 (10), p.2579-2588
Main Authors: Feng, Shuo, Liu, Ning, Huang, Long, Wen, Geng-Ao, Zha, Guo-Chun, Zhang, Jun
Format: Article
Language:English
Subjects:
Medicine
Medicine & Public Health
Orthopedics
Review
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Summary:Background Patients with dysplasia of the hip (DDH) have different degrees of bone defects above and outside the acetabulum, and anatomically reconstructing the acetabular centre of rotation is difficult in primary total hip arthroplasty (THA). Methods From April 2012 to December 2022, 64 patients (64 hips) with DDH treated with THA with structural bone graft in the superolateral acetabulum were selected. The Oxford hip score(OHS), Barthel index (BI), leg length discrepancy, Wibegr central edge-angle(CE), gluteus medius muscle strength, vertical and horizontal distance of the hip rotation center, coverage rate of the bone graft and complications were used to evaluate the clinical effectiveness of the patients. Results All patients were followed up for an average of 7.3±1.9 years. The OHS improved significantly after the operation ( P
ISSN:0341-2695
1432-5195
1432-5195
DOI:10.1007/s00264-024-06199-0