NDLI: Small diameter acetabulum and femoral head in total hip arthroplasty for developmental dysplasia of the hip, with no femoral osteotomy.

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Small diameter acetabulum and femoral head in total hip arthroplasty for developmental dysplasia of the hip, with no femoral osteotomy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Verettas, Dionysios-Alexandros Chloropoulou, Pelagia Xarchas, Konstantinos Drosos, Georgios Ververidis, Athanasios Kazakos, Konstantinos
Description	Author Affiliation: Verettas DA ( Department of Orthopaedic Surgery, Democritus University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis - Greece.)
Abstract	We present the results of 66 total hip arthroplasties in 62 patients of mean age 46 years (24-74 years), with developmental dysplasia of the hip. In all cases the centre of rotation of the new hip was positioned at the site of the true acetabulum. In all patients cementless press fit acetabular components of small diameter (42-44 mm) were used, articulating exclusively with a 22.25 mm modular metal femoral head, without the use of bone grafts or shortening osteotomies of the femur. Despite the use of small diameter femoral heads the rate of dislocation was 3%. After an average follow-up period of 9 years (4-18 years), no revisions were required for infection, loosening or wear or implant migration. Osteolytic lesions were seen in the periacetabular region in 3 patients who were symptom free. A total of 2 revisions were required for instability and 2 patients had the wires of their trochanteric osteotomy removed because of bursitis. Leg length inequality was improved in 55% of the patients and one postoperative transient sciatic nerve lesion settled within 4 months. We believe that in patients with painful dysplastic hips, the use of small diameter implants with the centre of rotation at the true acetabulum, can give very satisfactory results, without any supplementary procedures.
File Format	HTM / HTML
ISSN	11207000
Issue Number	3
Volume Number	25
e-ISSN	17246067
Journal	Hip International
Language	English
Publisher	Sage Publications
Publisher Date	2015-05-01
Publisher Place	Italy
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Acetabulum Surgery Arthroplasty, Replacement, Hip Methods Femur Head Hip Dislocation, Congenital Hip Joint Adult Aged Female Follow-up Studies Physiopathology Humans Male Middle Aged Osteotomy Prosthesis Design Radiography Range Of Motion, Articular Time Factors Treatment Outcome Young Adult Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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