Acetabuloplasty at the Anatomic Centre for Treating Crowe Class III and IV Developmental HIP Dysplasia: A Case Series
Introduction Total hip replacement in patients with developmental dysplasia of the hip (DDH) is a difficult technical procedure for surgeons to perform because of the potential for these patients to have severe anomalies in their bones and soft tissues. Materials and methods We performed acetabulopl...
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| Veröffentlicht in: | Hip international 2016-07, Vol.26 (4), p.360-366 |
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| creator | Sen, Cengiz Bilsel, Kerem Elmadag, Mehmet Gunes, Taner Saygi, Baransel |
| description | Introduction
Total hip replacement in patients with developmental dysplasia of the hip (DDH) is a difficult technical procedure for surgeons to perform because of the potential for these patients to have severe anomalies in their bones and soft tissues.
Materials and methods
We performed acetabuloplasty in 54 hips from 44 patients by reaming the posterior wall of the native acetabulum and medialising the acetabular component to restore the anatomic centre of hip rotation using a small cup without bone grafting. Median time to post-surgery follow-up was 5 (range 2-14) years.
Results
Prosthetic survival rates in patients after 2 and 5 years post hip replacement were 93% (50/54) and 89% (48/54), respectively. 4 patients required early revision because of malposition and instability of the acetabular cup. 3 patients with Crowe type IV dislocations had transient sciatic nerve palsy and 3 had deep vein thrombosis.
Conclusions
Placement of the acetabular shell using posterior bone stock to provide normal hip rotation is a successful alternative technique for acetabuloplasty in patients with DDH. |
| doi_str_mv | 10.5301/hipint.5000357 |
| format | Article |
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Total hip replacement in patients with developmental dysplasia of the hip (DDH) is a difficult technical procedure for surgeons to perform because of the potential for these patients to have severe anomalies in their bones and soft tissues.
Materials and methods
We performed acetabuloplasty in 54 hips from 44 patients by reaming the posterior wall of the native acetabulum and medialising the acetabular component to restore the anatomic centre of hip rotation using a small cup without bone grafting. Median time to post-surgery follow-up was 5 (range 2-14) years.
Results
Prosthetic survival rates in patients after 2 and 5 years post hip replacement were 93% (50/54) and 89% (48/54), respectively. 4 patients required early revision because of malposition and instability of the acetabular cup. 3 patients with Crowe type IV dislocations had transient sciatic nerve palsy and 3 had deep vein thrombosis.
Conclusions
Placement of the acetabular shell using posterior bone stock to provide normal hip rotation is a successful alternative technique for acetabuloplasty in patients with DDH.</description><identifier>ISSN: 1120-7000</identifier><identifier>EISSN: 1724-6067</identifier><identifier>DOI: 10.5301/hipint.5000357</identifier><identifier>PMID: 27229166</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Acetabuloplasty - methods ; Adult ; Aged ; Arthroplasty, Replacement, Hip - methods ; Female ; Hip Dislocation - etiology ; Hip Dislocation - surgery ; Hip Prosthesis ; Humans ; Male ; Middle Aged ; Range of Motion, Articular ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Hip international, 2016-07, Vol.26 (4), p.360-366</ispartof><rights>2016 SAGE Publications</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c331t-fefd3bb5e208a7058a4310c6dff9d39d86d66107474ac95ea13c8f4eac9093d03</citedby><cites>FETCH-LOGICAL-c331t-fefd3bb5e208a7058a4310c6dff9d39d86d66107474ac95ea13c8f4eac9093d03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.5301/hipint.5000357$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.5301/hipint.5000357$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27229166$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sen, Cengiz</creatorcontrib><creatorcontrib>Bilsel, Kerem</creatorcontrib><creatorcontrib>Elmadag, Mehmet</creatorcontrib><creatorcontrib>Gunes, Taner</creatorcontrib><creatorcontrib>Saygi, Baransel</creatorcontrib><title>Acetabuloplasty at the Anatomic Centre for Treating Crowe Class III and IV Developmental HIP Dysplasia: A Case Series</title><title>Hip international</title><addtitle>Hip Int</addtitle><description>Introduction
Total hip replacement in patients with developmental dysplasia of the hip (DDH) is a difficult technical procedure for surgeons to perform because of the potential for these patients to have severe anomalies in their bones and soft tissues.
Materials and methods
We performed acetabuloplasty in 54 hips from 44 patients by reaming the posterior wall of the native acetabulum and medialising the acetabular component to restore the anatomic centre of hip rotation using a small cup without bone grafting. Median time to post-surgery follow-up was 5 (range 2-14) years.
Results
Prosthetic survival rates in patients after 2 and 5 years post hip replacement were 93% (50/54) and 89% (48/54), respectively. 4 patients required early revision because of malposition and instability of the acetabular cup. 3 patients with Crowe type IV dislocations had transient sciatic nerve palsy and 3 had deep vein thrombosis.
Conclusions
Placement of the acetabular shell using posterior bone stock to provide normal hip rotation is a successful alternative technique for acetabuloplasty in patients with DDH.</description><subject>Acetabuloplasty - methods</subject><subject>Adult</subject><subject>Aged</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Female</subject><subject>Hip Dislocation - etiology</subject><subject>Hip Dislocation - surgery</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Range of Motion, Articular</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>1120-7000</issn><issn>1724-6067</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1L5EAQhhtx8fvqUeooSGar00k68TZkVg0Iu7Cj11CTVDSSj7G7o8y_3x5m9LanqqKf94F-hbiUOIsVyp-v7bod3CxGRBXrA3EidRgFCSb60O8yxED7p2Nxau0bYhhmcXQkjkPtN5kkJ2KaV-xoNXXjuiPrNkAO3CvDfCA39m0FOQ_OMDSjgaVhcu3wArkZPxlyH7BQFAXQUEPxDAv-YO_pfYI6eCj-wGJjt9qWbmEOOVmGv2xatufiR0Od5Yv9PBNPd7-W-UPw-Pu-yOePQaWUdEHDTa1Wq5hDTEljnFKkJFZJ3TRZrbI6TeokkagjHVGVxUxSVWkTsT8wUzWqM3G9867N-D6xdWXf2oq7jgYeJ1vKFHWqfWPSo7MdWpnRWsNNuTZtT2ZTSiy3VZe7qst91T5wtXdPq57rb_yrWw_c7ABLL1y-jZMZ_F__p_sHwMOIsw</recordid><startdate>20160725</startdate><enddate>20160725</enddate><creator>Sen, Cengiz</creator><creator>Bilsel, Kerem</creator><creator>Elmadag, Mehmet</creator><creator>Gunes, Taner</creator><creator>Saygi, Baransel</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160725</creationdate><title>Acetabuloplasty at the Anatomic Centre for Treating Crowe Class III and IV Developmental HIP Dysplasia: A Case Series</title><author>Sen, Cengiz ; Bilsel, Kerem ; Elmadag, Mehmet ; Gunes, Taner ; Saygi, Baransel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c331t-fefd3bb5e208a7058a4310c6dff9d39d86d66107474ac95ea13c8f4eac9093d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Acetabuloplasty - methods</topic><topic>Adult</topic><topic>Aged</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Female</topic><topic>Hip Dislocation - etiology</topic><topic>Hip Dislocation - surgery</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Range of Motion, Articular</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sen, Cengiz</creatorcontrib><creatorcontrib>Bilsel, Kerem</creatorcontrib><creatorcontrib>Elmadag, Mehmet</creatorcontrib><creatorcontrib>Gunes, Taner</creatorcontrib><creatorcontrib>Saygi, Baransel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Hip international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sen, Cengiz</au><au>Bilsel, Kerem</au><au>Elmadag, Mehmet</au><au>Gunes, Taner</au><au>Saygi, Baransel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acetabuloplasty at the Anatomic Centre for Treating Crowe Class III and IV Developmental HIP Dysplasia: A Case Series</atitle><jtitle>Hip international</jtitle><addtitle>Hip Int</addtitle><date>2016-07-25</date><risdate>2016</risdate><volume>26</volume><issue>4</issue><spage>360</spage><epage>366</epage><pages>360-366</pages><issn>1120-7000</issn><eissn>1724-6067</eissn><abstract>Introduction
Total hip replacement in patients with developmental dysplasia of the hip (DDH) is a difficult technical procedure for surgeons to perform because of the potential for these patients to have severe anomalies in their bones and soft tissues.
Materials and methods
We performed acetabuloplasty in 54 hips from 44 patients by reaming the posterior wall of the native acetabulum and medialising the acetabular component to restore the anatomic centre of hip rotation using a small cup without bone grafting. Median time to post-surgery follow-up was 5 (range 2-14) years.
Results
Prosthetic survival rates in patients after 2 and 5 years post hip replacement were 93% (50/54) and 89% (48/54), respectively. 4 patients required early revision because of malposition and instability of the acetabular cup. 3 patients with Crowe type IV dislocations had transient sciatic nerve palsy and 3 had deep vein thrombosis.
Conclusions
Placement of the acetabular shell using posterior bone stock to provide normal hip rotation is a successful alternative technique for acetabuloplasty in patients with DDH.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>27229166</pmid><doi>10.5301/hipint.5000357</doi><tpages>7</tpages></addata></record> |
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| ispartof | Hip international, 2016-07, Vol.26 (4), p.360-366 |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Acetabuloplasty - methods Adult Aged Arthroplasty, Replacement, Hip - methods Female Hip Dislocation - etiology Hip Dislocation - surgery Hip Prosthesis Humans Male Middle Aged Range of Motion, Articular Retrospective Studies Treatment Outcome |
| title | Acetabuloplasty at the Anatomic Centre for Treating Crowe Class III and IV Developmental HIP Dysplasia: A Case Series |
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