Some Aspects of Total Hip Replacement with Subtrochanteric Shortening Osteotomy in Patients with Congenital Hip Dislocation (Review)

This chapter contains practice questions based on a broad range of orthopaedic topics that may be encountered within the ‘Adult Pathology’ station of the FRCS (Trauma and Orthopaedics) viva examination. The hip topics covered include: osteoarthritis, total hip replacement, avascular necrosis, hip arthrodesis, hip dislocation, and heterotopic ossification as well as other conditions.

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Effect of articular capsule repair on postoperative dislocation after primary total hip replacement by the anterolateral approach

Journal of International Medical Research ◽

10.1177/0300060519863526 ◽

2019 ◽

Vol 47 (10) ◽

pp. 4787-4797

Author(s):

Yiran Lu ◽

Zongming Wu ◽

Xianzhong Tang ◽

Mengzhen Gu ◽

Bo Hou

Keyword(s):

Total Hip Replacement ◽

Hip Replacement ◽

Hip Dislocation ◽

Anterolateral Approach ◽

Total Hip ◽

Articular Capsule ◽

School Of Medicine ◽

Chi Squared ◽

Postoperative Dislocation ◽

Capsule Repair

Objective Artificial hip dislocation is one of the most serious complications following total hip replacement. This study was performed to assess articular capsule repair in primary total hip replacement with the anterolateral approach (Watson-Jones incision) and its effect on postoperative dislocation. Methods Patients who underwent primary total hip replacement by the anterolateral approach in Tongren Hospital of Shanghai Jiao Tong University School of Medicine from June 2007 to June 2014 were retrospectively analyzed. The patients were divided into the repair and dissection groups based on the articular capsule repair status during surgery. Postoperative dislocation rates were compared between the two groups using the chi-squared test. Results The repair and dissection groups comprised 137 and 248 patients, respectively. All patients were followed up for 6 months to 5 years (average, 3.75 years). The mean age, sex, disease composition, and follow-up time were not significantly different between the two groups. Early postoperative dislocation occurred in 1 hip (0.7%) in the repair group and 13 hips (5.2%) in the dissection group. Conclusions During the anterolateral approach for primary total hip replacement, articular capsule repair may reduce the occurrence of early postoperative dislocation of the hip joint.

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Total hip replacement for high dislocated hips without femoral shortening osteotomy

Journal of Bone and Joint Surgery - British Volume ◽

10.1302/0301-620x.93b9.25914 ◽

2011 ◽

Vol 93-B (9) ◽

pp. 1189-1193 ◽

Cited By ~ 15

Author(s):

X. Zhao ◽

Z.-A. Zhu ◽

Y.-Z. Xie ◽

B. Yu ◽

D.-G. Yu

Keyword(s):

Total Hip Replacement ◽

Hip Replacement ◽

Total Hip ◽

Shortening Osteotomy ◽

Femoral Shortening

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A new anterolateral surgical approach for total hip replacement

Joints ◽

10.11138/jts/2016.4.3.148 ◽

2016 ◽

Vol 04 (03) ◽

pp. 148-152

Author(s):

Giovanni Grano ◽

Maria Pavlidou ◽

Alberto Todesco ◽

Augusto Palermo ◽

Luigi Molfetta

Keyword(s):

Total Hip Replacement ◽

Hip Replacement ◽

Case Series ◽

Hip Dislocation ◽

Harris Hip Score ◽

Anterolateral Approach ◽

X Rays ◽

Level Of Evidence ◽

Total Hip

Purpose: the purpose of the present paper is to present the short-term results of a “detachment-free” (DF) anterolateral approach for primary total hip replacement (THR) performed in a large series of patients. Methods: two hundred patients submitted to primary THR were retrospectively reviewed for the present study. In all cases, the surgery was performed using a minimally invasive DF anterolateral approach, which entails no disconnection of tendons and no muscle damage. The study population consisted of 96 men (48%) and 104 women (52%), with an average age of 69.4 years (range 38-75). Clinical and radiographic follow-up was performed after 12 months. Results: the clinical results, evaluated using the Harris Hip Score, were excellent in 95% of the cases and good in 5%; no cases had fair or poor results. X-rays taken at 3, 6 and 12 months after surgery did not show heterotopic ossification, mobilization of the prosthetic components, or hip dislocation. No infections, deep vein thrombosis, or failure of the gluteal muscles were reported. Conclusions: the DF anterolateral approach for THR proved safe and provided effective results at shortterm follow-up. Level of evidence: Level IV, therapeutic case series.

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