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《Chongqing Medicine》 2017-14
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The short-term efficacy of Crowe Ⅳ developmental dysplasia treated by total hip arthroplasty with subtrochanteric shortening osteotomy

Si Yan;Zhang Shangshang;Zhang Peng;Han Jie;Zhu Jiangwei;Bi Mengna;Li Zhong;Chen Jingyong;Department of Orthopedics,Orthopedic Hospital of Sichuan Province;  
Objective To evaluate the short-term efficacy of total hip arthroplasty combined with subcutaneous osteotomy in the treatment of CroweⅣ hip dysplasia(DDH).Methods From March 2012 to March 2015,14patients(16hips)underwent total hip arthroplasty with femoral distraction osteotomy S-ROM femoral stem prosthesis.And we observed its recent efficacy.ResultsAll patients underwent S-ROM prosthesis.The patients underwent transverse osteotomy of the femoral trochanter.The osteotomy length was 2.0-3.5cm.The average follow-up time was 19 months.And no complications such as dislocation,vascular nerve injury,deep vein thrombosis and infection were observed during the follow-up.The average Harris scores improved from 42.3preoperatively to 90.4postoperatively at 9months after the operation.The average lengths of preoperative limb shortening and postoperative limb shortening were 6.4cm and 4.3cm respectively.The X-ray films showed no dislocation of acetabulum and femoral prosthesis.Bone healing was achieved at 6months after osteotomy.Conclusion This method could be a good choice for CroweⅣ developmental dysplasia.The short-term efficacy is satisfactory.
【Fund】: 国家中医药管理局“十二五”重点专科“骨伤科”建设项目资助(ZK2201GS088);国家中医药管理局“十一五”重点学科“中医骨伤科”建设项目
【CateGory Index】: R684.2
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