Evaluation of the Hip Center in Total Hip Arthroplasty for Old Developmental Dysplasia
Abstract We describe the problems with positioning the hip center according to the severity of dislocation in 97 cementless total hip arthroplasty for developmental dysplasia of the hip. The mean location of the hip center from the interteardrop was 30.4 ± 8.7 mm horizontally and 23.4 ± 5.4 mm verti...
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Veröffentlicht in: | The Journal of arthroplasty 2008-12, Vol.23 (8), p.1189-1196 |
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creator | Flecher, Xavier, MD Parratte, Sebastien, MD Brassart, Nicolas, MD Aubaniac, Jean-Manuel, MD Argenson, Jean-Noël, MD |
description | Abstract We describe the problems with positioning the hip center according to the severity of dislocation in 97 cementless total hip arthroplasty for developmental dysplasia of the hip. The mean location of the hip center from the interteardrop was 30.4 ± 8.7 mm horizontally and 23.4 ± 5.4 mm vertically. The presence of a limp correlated with a superior placement of the cup. Four cups were revised, 2 of which with a significant high hip center. The survival rate of the acetabular component was 95% at 12 years. Craniopodal repositioning was easy in class 1. In class 2, the cup was the largest. In class 3, the greatest variations of the hip center were found. In class 4, the smallest implants were necessary for positioning in the true acetabulum. |
doi_str_mv | 10.1016/j.arth.2007.10.008 |
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The mean location of the hip center from the interteardrop was 30.4 ± 8.7 mm horizontally and 23.4 ± 5.4 mm vertically. The presence of a limp correlated with a superior placement of the cup. Four cups were revised, 2 of which with a significant high hip center. The survival rate of the acetabular component was 95% at 12 years. Craniopodal repositioning was easy in class 1. In class 2, the cup was the largest. In class 3, the greatest variations of the hip center were found. 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The mean location of the hip center from the interteardrop was 30.4 ± 8.7 mm horizontally and 23.4 ± 5.4 mm vertically. The presence of a limp correlated with a superior placement of the cup. Four cups were revised, 2 of which with a significant high hip center. The survival rate of the acetabular component was 95% at 12 years. Craniopodal repositioning was easy in class 1. In class 2, the cup was the largest. In class 3, the greatest variations of the hip center were found. In class 4, the smallest implants were necessary for positioning in the true acetabulum.</description><subject>Acetabulum - diagnostic imaging</subject><subject>Acetabulum - surgery</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>cementless</subject><subject>congenital luxation</subject><subject>developmental dysplasia of the hip</subject><subject>Follow-Up Studies</subject><subject>hip center</subject><subject>Hip Dislocation, Congenital - physiopathology</subject><subject>Hip Dislocation, Congenital - surgery</subject><subject>Hip Joint - diagnostic imaging</subject><subject>Hip Joint - physiopathology</subject><subject>Hip Joint - surgery</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Radiography</subject><subject>Range of Motion, Articular - physiology</subject><subject>Retrospective Studies</subject><subject>Survival Analysis</subject><subject>total hip arthroplasty</subject><subject>Young Adult</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFr3DAQhUVpaTZp_0APRafevBlJtiVDKYRN0hQCOSTpVcjymGirtVzJXth_X7m7UOghJ8HT994wbwj5xGDNgNWX27WJ08uaA8gsrAHUG7JileCFKqF-S1aglCiqEsQZOU9pC8BYVZXvyRlTlShLWa3Iz5u98bOZXBho6On0gvTOjXSDw4SRuoE-hcn4v9pVHhbD6E2aDrQPkT74jl7jHn0Yd5nP2PUhLf_OfCDveuMTfjy9F-T59uZpc1fcP3z_sbm6L2yePhW24QZ4bQ1DzlujsBKdLbmxsmxrZFi3rFFNo2RXihpt26mmN61knRKSQSPFBflyzB1j-D1jmvTOJYvemwHDnHTdSCVYyTPIj6CNIaWIvR6j25l40Az00qbe6qVNvbS5aLnNbPp8Sp_bHXb_LKf6MvD1CGDece8w6mQdDhY7F9FOugvu9fxv_9mtd4Ozxv_CA6ZtmOOQ29NMJ65BPy73XM4JEqAGwcQfmWia2w</recordid><startdate>20081201</startdate><enddate>20081201</enddate><creator>Flecher, Xavier, MD</creator><creator>Parratte, Sebastien, MD</creator><creator>Brassart, Nicolas, MD</creator><creator>Aubaniac, Jean-Manuel, MD</creator><creator>Argenson, Jean-Noël, MD</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>20081201</creationdate><title>Evaluation of the Hip Center in Total Hip Arthroplasty for Old Developmental Dysplasia</title><author>Flecher, Xavier, MD ; Parratte, Sebastien, MD ; Brassart, Nicolas, MD ; Aubaniac, Jean-Manuel, MD ; Argenson, Jean-Noël, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-c92a026ca1e22ba8e53dc42ac74b6e1e6b1989987d436ecbd89fab71d83710973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Acetabulum - diagnostic imaging</topic><topic>Acetabulum - surgery</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>cementless</topic><topic>congenital luxation</topic><topic>developmental dysplasia of the hip</topic><topic>Follow-Up Studies</topic><topic>hip center</topic><topic>Hip Dislocation, Congenital - physiopathology</topic><topic>Hip Dislocation, Congenital - surgery</topic><topic>Hip Joint - diagnostic imaging</topic><topic>Hip Joint - physiopathology</topic><topic>Hip Joint - surgery</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Radiography</topic><topic>Range of Motion, Articular - physiology</topic><topic>Retrospective Studies</topic><topic>Survival Analysis</topic><topic>total hip arthroplasty</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Flecher, Xavier, MD</creatorcontrib><creatorcontrib>Parratte, Sebastien, MD</creatorcontrib><creatorcontrib>Brassart, Nicolas, MD</creatorcontrib><creatorcontrib>Aubaniac, Jean-Manuel, MD</creatorcontrib><creatorcontrib>Argenson, Jean-Noël, MD</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>Flecher, Xavier, MD</au><au>Parratte, Sebastien, MD</au><au>Brassart, Nicolas, MD</au><au>Aubaniac, Jean-Manuel, MD</au><au>Argenson, Jean-Noël, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of the Hip Center in Total Hip Arthroplasty for Old Developmental Dysplasia</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2008-12-01</date><risdate>2008</risdate><volume>23</volume><issue>8</issue><spage>1189</spage><epage>1196</epage><pages>1189-1196</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract We describe the problems with positioning the hip center according to the severity of dislocation in 97 cementless total hip arthroplasty for developmental dysplasia of the hip. The mean location of the hip center from the interteardrop was 30.4 ± 8.7 mm horizontally and 23.4 ± 5.4 mm vertically. The presence of a limp correlated with a superior placement of the cup. Four cups were revised, 2 of which with a significant high hip center. The survival rate of the acetabular component was 95% at 12 years. Craniopodal repositioning was easy in class 1. In class 2, the cup was the largest. In class 3, the greatest variations of the hip center were found. In class 4, the smallest implants were necessary for positioning in the true acetabulum.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>18534475</pmid><doi>10.1016/j.arth.2007.10.008</doi><tpages>8</tpages></addata></record> |
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subjects | Acetabulum - diagnostic imaging Acetabulum - surgery Adolescent Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip - methods cementless congenital luxation developmental dysplasia of the hip Follow-Up Studies hip center Hip Dislocation, Congenital - physiopathology Hip Dislocation, Congenital - surgery Hip Joint - diagnostic imaging Hip Joint - physiopathology Hip Joint - surgery Humans Middle Aged Orthopedics Radiography Range of Motion, Articular - physiology Retrospective Studies Survival Analysis total hip arthroplasty Young Adult |
title | Evaluation of the Hip Center in Total Hip Arthroplasty for Old Developmental Dysplasia |
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