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. 2006 Feb;30(1):21-5.
doi: 10.1007/s00264-005-0027-1. Epub 2005 Dec 14.

Total hip arthroplasty for developmental hip dysplasia

G Papachristou  1 , P Hatzigrigoris, K Panousis, S Plessas, J Sourlas, C Levidiotis, E Chronopoulos
Affiliations

Total hip arthroplasty for developmental hip dysplasia

G Papachristou et al. Int Orthop. 2006 Feb.

Abstract
in English, French

We reviewed 38 hip replacements in 33 female patients (mean age 55.3 years) with developmental hip dysplasia. One patient had died and the remaining 32 patients (36 hips) had a mean follow-up of 12.2 years (range 8-19 years). All hips were replaced using the Müller cemented implant, and in 32 hips bulk femoral head autograft was used. In 33 hips the socket was reconstructed at the level of the true acetabulum. Complications included one intra-operative femoral fracture and two early dislocations. Correction of leg length discrepancy was possible in 30 patients. The post-operative mean modified Merle d'Aubigne and Postel scores for pain, movement and walking were 5.9, 5, and 5.3 respectively. One cup was revised due to aseptic loosening at ten years. All grafts united, but minor graft resorption was noticed in 24 hips, moderate in 2 hips and major in 1 hip.

Nous avons examiné 38 remplacements prothétiques de la hanche chez 33 femmes (âge moyen 55,3 ans) avec une dysplasie de la hanche. Une patiente était décédée et les 32 autres (36 hanches) avaient un suivi moyen de 12,2 ans ( 8 à 19). Toutes les hanches ont eu un implant type Müller cimenté et pour 32 une autogreffe massive de tête fémorale a été utilisé. Pour 33 hanches la cavité a été reconstruite au niveau du paléo-cotyle. Les complications comprenaient une fracture fémorale opératoire et deux luxations précoces. La correction de l’inégalité de longueur des membres inférieurs était obtenue chez 30 malades. Le score postopératoire modifié de Merle d’Aubigné et Postel pour la douleur, la mobilité et la marche étaient en moyenne de 5,9, 5 et 5,3 respectivement. Une cupule a été révisée pour un descellement aseptique à 10 ans. Toutes les greffes ont consolidé, mais une résorption mineure de la greffe a été remarquée dans 24 hanches, une résorption modéré dans deux hanches et majeure dans une.

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Figures

Fig. 1
Fig. 1
a Preoperative AP radiograph of a patient with high dislocation. b Postoperative AP radiograph of the same patient 10 years after reconstruction using a structural graft from her own femoral head
Fig. 2
Fig. 2
a Preoperative AP radiograph of a patient with high dislocation. b Postoperative AP radiograph of the same patient 11 years after reconstruction. Only morselized bone graft was used on the lateral aspect of the cup
See this image and copyright information in PMC

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References

    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '10199272', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/10199272/'}]}
    2. Anderson MJ, Harris WH (1999) Total hip arthroplasty with insertion of the acetabular component without cement in hips with total congenital dislocation or marked congenital dysplasia. J Bone Joint Surg Am 81:347–354 - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '3819398', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/3819398/'}]}
    2. Aronson J (1986) Osteoarthritis of the young adult hip: etiology and treatment. Instr Course Lect 35:119–128 - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '4217797', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/4217797/'}]}
    2. Brooker AF, Bowerman JW, Robinson RA, Riley LH Jr (1973) Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am 55:1629–1632 - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S0883-5403(96)80113-6', 'is_inner': False, 'url': 'https://doi.org/10.1016/s0883-5403(96)80113-6'}, {'type': 'PubMed', 'value': '8872579', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/8872579/'}]}
    2. Cameron HU, Botsford DJ, Park YS (1996) Influence of the Crowe rating on the outcome of total hip arthroplasty in congenital hip dysplasia. J Arthroplasty 11:582–587 - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '365863', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/365863/'}]}
    2. Crowe JF, Mani VJ, Ranawat CS (1979) Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg Am 61:15–23 - PubMed