Results on Total Hip Arthroplasties With Femoral Shortening for Crowe's Group IV Dislocated Hips
Abstract We performed total hip arthroplasties in 11 women with Crowe's group IV completely dislocated hips, with a mean age at surgery of 59.6 years and a mean follow-up of 65 months. In all cases, femoral shortening was achieved using step-cut osteotomy. All acetabular cups were placed in the...
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| Veröffentlicht in: | The Journal of arthroplasty 2007, Vol.22 (1), p.32-38 |
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| creator | Makita, Hiroyuki, MD, PhD Inaba, Yutaka, MD, PhD Hirakawa, Kazuo, MD, PhD Saito, Tomoyuki, MD, PhD |
| description | Abstract We performed total hip arthroplasties in 11 women with Crowe's group IV completely dislocated hips, with a mean age at surgery of 59.6 years and a mean follow-up of 65 months. In all cases, femoral shortening was achieved using step-cut osteotomy. All acetabular cups were placed in their anatomical locations. The mean Merle d'Aubigne hip score improved from 10.9 points to 16.9. There was no case of nonunion or malunion in the osteotomized site. Temporary numbness was observed in 2 hips, which subsided within 3 weeks without any treatment. One hip had to be revised 8 years after surgery because of aseptic loosening of the stem. Our study shows that total hip arthroplasty, incorporating step-cut femoral shortening, provides acceptable results for completely dislocated hip. |
| doi_str_mv | 10.1016/j.arth.2006.02.157 |
| format | Article |
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In all cases, femoral shortening was achieved using step-cut osteotomy. All acetabular cups were placed in their anatomical locations. The mean Merle d'Aubigne hip score improved from 10.9 points to 16.9. There was no case of nonunion or malunion in the osteotomized site. Temporary numbness was observed in 2 hips, which subsided within 3 weeks without any treatment. One hip had to be revised 8 years after surgery because of aseptic loosening of the stem. Our study shows that total hip arthroplasty, incorporating step-cut femoral shortening, provides acceptable results for completely dislocated hip.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2006.02.157</identifier><identifier>PMID: 17197306</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Arthroplasty, Replacement, Hip - adverse effects ; Arthroplasty, Replacement, Hip - methods ; Bone Lengthening ; completely dislocated hip ; Female ; femoral shortening ; Femur - diagnostic imaging ; Femur - surgery ; Follow-Up Studies ; hip ; Hip Dislocation, Congenital - surgery ; Hip Joint - diagnostic imaging ; Hip Joint - surgery ; Humans ; Middle Aged ; Orthopedics ; Osteotomy - adverse effects ; Osteotomy - methods ; Radiography ; Retrospective Studies ; step-cut osteotomy ; total hip arthroplasty ; Treatment Outcome</subject><ispartof>The Journal of arthroplasty, 2007, Vol.22 (1), p.32-38</ispartof><rights>Elsevier Inc.</rights><rights>2007 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-10654bb1cef7cbbfe4f3201b817e1c471aece0d9233d04596935f54ca27632393</citedby><cites>FETCH-LOGICAL-c409t-10654bb1cef7cbbfe4f3201b817e1c471aece0d9233d04596935f54ca27632393</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0883540306002567$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,4010,27900,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17197306$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Makita, Hiroyuki, MD, PhD</creatorcontrib><creatorcontrib>Inaba, Yutaka, MD, PhD</creatorcontrib><creatorcontrib>Hirakawa, Kazuo, MD, PhD</creatorcontrib><creatorcontrib>Saito, Tomoyuki, MD, PhD</creatorcontrib><title>Results on Total Hip Arthroplasties With Femoral Shortening for Crowe's Group IV Dislocated Hips</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract We performed total hip arthroplasties in 11 women with Crowe's group IV completely dislocated hips, with a mean age at surgery of 59.6 years and a mean follow-up of 65 months. In all cases, femoral shortening was achieved using step-cut osteotomy. All acetabular cups were placed in their anatomical locations. The mean Merle d'Aubigne hip score improved from 10.9 points to 16.9. There was no case of nonunion or malunion in the osteotomized site. Temporary numbness was observed in 2 hips, which subsided within 3 weeks without any treatment. One hip had to be revised 8 years after surgery because of aseptic loosening of the stem. Our study shows that total hip arthroplasty, incorporating step-cut femoral shortening, provides acceptable results for completely dislocated hip.</description><subject>Adult</subject><subject>Aged</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Bone Lengthening</subject><subject>completely dislocated hip</subject><subject>Female</subject><subject>femoral shortening</subject><subject>Femur - diagnostic imaging</subject><subject>Femur - surgery</subject><subject>Follow-Up Studies</subject><subject>hip</subject><subject>Hip Dislocation, Congenital - surgery</subject><subject>Hip Joint - diagnostic imaging</subject><subject>Hip Joint - surgery</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteotomy - adverse effects</subject><subject>Osteotomy - methods</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>step-cut osteotomy</subject><subject>total hip arthroplasty</subject><subject>Treatment Outcome</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU2L1EAQhhtR3NnVP-BB-qSnjNWfSUCEZXQ_YEFwVz22nU7F6TGTznZ3XPbfmzADggdPdaj3faCeIuQVgzUDpt_t1jbm7ZoD6DXwNVPlE7JiSvCikqCfkhVUlSiUBHFCTlPaATCmlHxOTljJ6lKAXpEfXzBNfU40DPQuZNvTKz_S85kbw9jblD0m-t3nLb3AfYjz_nYbYsbBDz9pFyLdxPCAbxO9jGEa6fU3-tGnPjibsV1Q6QV51tk-4cvjPCNfLz7dba6Km8-X15vzm8JJqHPBQCvZNMxhV7qm6VB2ggNrKlYic7JkFh1CW3MhWpCq1rVQnZLO8lILLmpxRt4cuGMM9xOmbPY-Oex7O2CYktGVqErJ5Rzkh6CLIaWInRmj39v4aBiYxavZmcWrWbwa4Gb2OpdeH-lTs8f2b-Uocg68PwRwvvG3x2iS8zg4bH1El00b_P_5H_6pu94P3tn-Fz5i2oUpDrM9w0ziBszt8tnlsaABuNKl-AMHJJ3t</recordid><startdate>2007</startdate><enddate>2007</enddate><creator>Makita, Hiroyuki, MD, PhD</creator><creator>Inaba, Yutaka, MD, PhD</creator><creator>Hirakawa, Kazuo, MD, PhD</creator><creator>Saito, Tomoyuki, MD, PhD</creator><general>Elsevier Inc</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>2007</creationdate><title>Results on Total Hip Arthroplasties With Femoral Shortening for Crowe's Group IV Dislocated Hips</title><author>Makita, Hiroyuki, MD, PhD ; Inaba, Yutaka, MD, PhD ; Hirakawa, Kazuo, MD, PhD ; Saito, Tomoyuki, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-10654bb1cef7cbbfe4f3201b817e1c471aece0d9233d04596935f54ca27632393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Bone Lengthening</topic><topic>completely dislocated hip</topic><topic>Female</topic><topic>femoral shortening</topic><topic>Femur - diagnostic imaging</topic><topic>Femur - surgery</topic><topic>Follow-Up Studies</topic><topic>hip</topic><topic>Hip Dislocation, Congenital - surgery</topic><topic>Hip Joint - diagnostic imaging</topic><topic>Hip Joint - surgery</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteotomy - adverse effects</topic><topic>Osteotomy - methods</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>step-cut osteotomy</topic><topic>total hip arthroplasty</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Makita, Hiroyuki, MD, PhD</creatorcontrib><creatorcontrib>Inaba, Yutaka, MD, PhD</creatorcontrib><creatorcontrib>Hirakawa, Kazuo, MD, PhD</creatorcontrib><creatorcontrib>Saito, Tomoyuki, MD, PhD</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>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Makita, Hiroyuki, MD, PhD</au><au>Inaba, Yutaka, MD, PhD</au><au>Hirakawa, Kazuo, MD, PhD</au><au>Saito, Tomoyuki, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Results on Total Hip Arthroplasties With Femoral Shortening for Crowe's Group IV Dislocated Hips</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2007</date><risdate>2007</risdate><volume>22</volume><issue>1</issue><spage>32</spage><epage>38</epage><pages>32-38</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract We performed total hip arthroplasties in 11 women with Crowe's group IV completely dislocated hips, with a mean age at surgery of 59.6 years and a mean follow-up of 65 months. In all cases, femoral shortening was achieved using step-cut osteotomy. All acetabular cups were placed in their anatomical locations. The mean Merle d'Aubigne hip score improved from 10.9 points to 16.9. There was no case of nonunion or malunion in the osteotomized site. Temporary numbness was observed in 2 hips, which subsided within 3 weeks without any treatment. One hip had to be revised 8 years after surgery because of aseptic loosening of the stem. Our study shows that total hip arthroplasty, incorporating step-cut femoral shortening, provides acceptable results for completely dislocated hip.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>17197306</pmid><doi>10.1016/j.arth.2006.02.157</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Aged Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - methods Bone Lengthening completely dislocated hip Female femoral shortening Femur - diagnostic imaging Femur - surgery Follow-Up Studies hip Hip Dislocation, Congenital - surgery Hip Joint - diagnostic imaging Hip Joint - surgery Humans Middle Aged Orthopedics Osteotomy - adverse effects Osteotomy - methods Radiography Retrospective Studies step-cut osteotomy total hip arthroplasty Treatment Outcome |
| title | Results on Total Hip Arthroplasties With Femoral Shortening for Crowe's Group IV Dislocated Hips |
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