Femoral shortening in total arthroplasty for completely dislocated hips:3-7 year results in 25 cases

During the years 1988-1991, we performed 25 total hip replacements for completely dislocated hips in 15 women and 4 men with a median age of 54 (17-67) years. In all cases, femoral shortening at the subtrochanteric level was performed to obtain reduction of the hip. The patients have been followed f...

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Veröffentlicht in:Acta orthopaedica 1996, Vol.67 (1), p.33-36
Hauptverfasser: Reikeraas, Olav, Lereim, Paul, Gabor, Imre, Gunderson, Ragnhild, Bjerkreim, Ingjald
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container_end_page 36
container_issue 1
container_start_page 33
container_title Acta orthopaedica
container_volume 67
creator Reikeraas, Olav
Lereim, Paul
Gabor, Imre
Gunderson, Ragnhild
Bjerkreim, Ingjald
description During the years 1988-1991, we performed 25 total hip replacements for completely dislocated hips in 15 women and 4 men with a median age of 54 (17-67) years. In all cases, femoral shortening at the subtrochanteric level was performed to obtain reduction of the hip. The patients have been followed for 3-7 years. 1 patient experienced sciatic nerve palsy, 1 a delayed union and 1 a malunion at the osteotomy site. There were no signs of mechannical failure. All patients were satisfied. According to the Charnley hip score, function was excellent in 15 cases, good in 9 and fair in 1. The median Harris hip score improved from 43 at the time of operation to 93 at follow-up. 7 hips had a positive and 18 a negative Trendelenburg test. Before operation, all patients had a Trendelenburg limp. Our intermediate results indicate that femoral shortening at the subtrochanteric level is a suitable adjunct to total arthroplasty for a completely dislocated hip.
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adolescent
Adult
Aged
Biological and medical sciences
Female
Hip Dislocation - surgery
Hip Joint - diagnostic imaging
Hip Prosthesis - methods
Humans
Injuries of the limb. Injuries of the spine
Male
Medical sciences
Middle Aged
Radiography
Traumas. Diseases due to physical agents
Treatment Outcome
title Femoral shortening in total arthroplasty for completely dislocated hips:3-7 year results in 25 cases
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