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Long-term results of total hip arthroplasty in developmental dysplasia of hip patients

OBJECTIVESThis study aims to report the physiological and radiological long-term results of total hip arthroplasty (THA) combined with or without subtrochanteric osteotomy in a group of developmental dysplasia of hip (DDH) patients. PATIENTS AND METHODSThis retrospective study included 90 hips of 59...

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Bibliographic Details
Published in:Joint diseases and related surgery 2020-01, Vol.31 (2), p.298-305
Main Author: Alp, Nazmi Bülent
Format: Article
Language:English
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Summary:OBJECTIVESThis study aims to report the physiological and radiological long-term results of total hip arthroplasty (THA) combined with or without subtrochanteric osteotomy in a group of developmental dysplasia of hip (DDH) patients. PATIENTS AND METHODSThis retrospective study included 90 hips of 59 patients (3 males, 56 females; mean age 45.7±10.9 years; range, 24 to 67 years) who underwent THA between January 1979 and March 2006. Thirteen patients needed subtrochanteric shortening. The evaluation was performed through Harris hip scores, physical examination, and radiological imaging. RESULTSThe follow-up period ranged from 5 to 32 years, and the mean follow-up period was 10.3±6.4 years. Revision was required in 17 hips out of 90. Twelve revisions were needed because of aseptic loosening of femoral or acetabular component, three were for fracture of the femoral stem, and two for protrusio acetabuli. Four patients had transient nerve palsy, and one had permanent nerve function loss. In one patient, nonunion was observed around the femoral osteotomy site. Harris hip score was remarkably improved compared to top preoperative values (48 vs. 88.2, p
ISSN:2687-4784
2687-4792
DOI:10.5606/ehc.2020.74412