Cementless Total Hip Arthroplasty With Modified Oblique Femoral Shortening Osteotomy in Crowe Type IV Congenital Hip Dislocation

• Published in: The Journal of arthroplasty Vol. 28; no. 1; pp. 117 - 125
• Main Authors: Kılıçoğlu, Önder İ., MD, PhD, Türker, Mehmet, MD, Akgül, Turgut, MD, Yazıcıoğlu, Önder, MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 2013
• Subjects: Adult; Arthroplasty, Replacement, Hip - methods; cementless; congenital dislocation; Crowe type IV; Female; Femur - surgery; hip; Hip Dislocation, Congenital - diagnostic imaging; Hip Dislocation, Congenital - surgery; Hip Joint - diagnostic imaging; Hip Prosthesis; Humans; Male; Middle Aged; oblique osteotomy; Orthopedics; Osteotomy - adverse effects; Osteotomy - methods; Radiography; total hip arthroplasty; total hip arthroplasty; oblique osteotomy; congenital dislocation; hip; Crowe type IV; cementless
• ISSN: 0883-5403; 1532-8406
• DOI: 10.1016/j.arth.2012.06.014

Abstract Midterm results of cementless total hip arthroplasty in patients with Crowe type IV congenital dislocation of the hip were evaluated. A modified oblique subtrochanteric shortening osteotomy was used in all patients. A cylindrical femoral stem was used in all patients to stabilize the osteotomy. Mean follow-up was 82 months in 20 hips of 16 patients. Mean Merle D'Aubigné pain score increased from 2.52 to 5.65 points, function score improved from 4.0 to 5.3 points, and mobility score improved from 3.95 to 5.35. Mean greater trochanter height relative to the estimated hip center was 6.8 ± 2.0 cm preoperatively and − 1 ± 0.2 cm postoperatively. Complications were dislocations in 3 patients, which were successfully managed without redislocation and fracture of greater trochanter in 3 patients, which healed uneventfully in 2 but with residual Trendelenburg gait in one. Total hip arthroplasty with modified oblique subtrochanteric shortening osteotomy is an effective technique for the treatment for Crowe type IV hip dislocation.