Acetabular reconstruction in developmental dysplasia of the hip

1999 ◽  
Vol 14 (2) ◽  
pp. 131-137 ◽  
Author(s):  
Thomas J. Gill ◽  
Klaus Siebenrock ◽  
Rolf Oberholzer ◽  
Reinhold Ganz
2014 ◽  
Vol 96 (22) ◽  
pp. 1878-1882 ◽  
Author(s):  
Matthew P Abdel ◽  
Louis S Stryker ◽  
Robert T Trousdale ◽  
Daniel J Berry ◽  
Miguel E Cabanela

2021 ◽  
Author(s):  
Xinggui Wen ◽  
Jianlin Zuo ◽  
Tong Liu ◽  
Zhongli Gao ◽  
Jianlin Xiao

Abstract This study evaluated the cup coverage(CC) of acetabular cup models with different sizes in patients with Crowe type Ⅱ and type Ⅲ DDH by the high hip center technique(HHC), the results shows that the CC of cup sizes with 38mm, 40mm, 42mm, 44mm, 46mm, 48mm, and 50 mm increased by 21.24%, 21.58%, 20.86%, 20.04%, 18.62%, 17.18%, and 15.42% (P<0.001) respectively as the cups elevated from the true acetabula until the maximum coverage were achieved. What surprising is the mean CC at the true acetabula were 77.85%, 76.71%, 75.73%, 74.56%, 73.68%, 72.51%, and 71.75%, respectively. So, we draw a distribution frequency map of uncovered portion of all 44-mm cups at the true acetabula to illustrate the distribution of bone defects of the acetabulum. The map shows that 95% of type Ⅱ and type Ⅲ DDH acetabula had bone defects in posterosuperior, and 60% were located outside the force line of the hip joint.Here comes to a conclusion that acetabular cups can meet the CC of more than 70% at the true acetabulum, and 60% of Crowe type Ⅱ and type Ⅲ DDH patients can obtain satisfactory CC at the true acetabulum by using a 44-mm cup without additional operation.


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