NDLI: A new technique of subtrochanteric shortening in total hip replacement for Crowe type 3 to 4 dysplasia of the hip.

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A new technique of subtrochanteric shortening in total hip replacement for Crowe type 3 to 4 dysplasia of the hip.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Togrul, Emre Ozkan, Cenk Kalaci, Aydiner Gülsen, Mahir
Description	Country affiliation: Turkey Author Affiliation: Togrul E ( Faculty of Medicine, Department of Orthopedics and Traumatology, Cukurova University, Balcali/Adana, Turkey.)
Abstract	A new technique of femoral fixation that uses a transverse osteotomy for subtrochanteric shortening and derotation in total hip arthroplasty for Crowe type 3 to 4 dysplasia of the hip is described. This series included 21 cases in 12 women and 2 men, with a mean age of 42.3 years. Follow-up averaged 41.2 months. Bone pegs prepared from the resected femoral segment were seated in the medullary canal around the stem for femoral fixation. Merle d'Aubigné scores for pain, motion, and walking improved from 2.9, 4.4, and 3.7 to 5.2, 5.4, and 5.5, respectively. Radiographic union was detected within 12 +/- 3.4 (range, 6-24) weeks in all cases. Complications were early dislocation in 2 cases. This technique allows correction of anteversion, provides excellent rotational stability, and eliminates the need for additional osteosynthesis regardless of the stem design.
File Format	HTM / HTML
ISSN	08835403
Issue Number	3
Volume Number	25
e-ISSN	15328406
Journal	The Journal of Arthroplasty
Language	English
Publisher	Elsevier
Publisher Date	2010-04-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Arthroplasty, Replacement, Hip Methods Femur Surgery Hip Dislocation, Congenital Hip Prosthesis Osteotomy Adult Biomechanical Phenomena Female Follow-up Studies Physiopathology Hip Joint Humans Male Middle Aged Radiography Range Of Motion, Articular Physiology Treatment Outcome Evaluation Studies Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine

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