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Case Reports
. 2020 Aug 10:2020:8853453.
doi: 10.1155/2020/8853453. eCollection 2020.

Conventional Cementless Total Hip Arthroplasty for Hip Osteoarthritis after Distal Trochanteric Transfer: A Report of Two Cases

Hirohito Hirata  1 , Motoki Sonohata  1 , Akira Hashimoto  1 , Sakumo Kii  1 , Takema Nakashima  1 , Masaya Ueno  1 , Shuichi Eto  1 , Shunsuke Kawano  1 , Masaaki Mawatari  1
Affiliations
Case Reports

Conventional Cementless Total Hip Arthroplasty for Hip Osteoarthritis after Distal Trochanteric Transfer: A Report of Two Cases

Hirohito Hirata et al. Case Rep Orthop. .

Abstract

Distal trochanteric transfer (DTT) has been widely performed to treat developmental dysplasia of the hip or Perthes disease. Total hip arthroplasty (THA) following DTT in patients with hip osteoarthritis is one of the most challenging procedures for hip surgeons, because great care must be taken regarding anatomical abnormalities of the greater trochanter and the soft tissue attached to the greater trochanter. To the best of our knowledge, there are no reports on THA after DTT. We herein report two cases of patients who underwent THA post DTT using cementless components. After THA, both patients developed abduction temporary contraction because of leg length extension and gluteus medius hypertension. However, in both cases, the contraction was reversible within two months and the final clinical result was good. Therefore, THA can be considered an effective and safe choice for treating osteoarthritis after DTT.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Radiographs of Case 1 before total hip arthroplasty.
Figure 2
Figure 2
PerFix-HA femoral component used for implantation.
Figure 3
Figure 3
Radiographs of Case 1 last follow-up (7 years) after total hip arthroplasty.
Figure 4
Figure 4
Radiographs of Case 2 before left total hip arthroplasty.
Figure 5
Figure 5
Radiographs of Case 2 at their last follow-up (11 years) after total hip arthroplasty.
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