Total HIP Arthroplasty without Femoral Osteotomy in Patients who had High and Low Dislocation Due to Developmental Dysplasia of the HIP

2016 ◽  
Vol 26 (2) ◽  
pp. 193-198 ◽  
Author(s):  
Gorkem Kiyak ◽  
Murat Bezer ◽  
Ismail E. Ketenci ◽  
Osman M. Topkar
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Developmental Dysplasia ◽  
Femoral Osteotomy ◽  
Total Hip ◽  
Dysplasia Of The Hip

Preliminary application of 3D-printed individualised guiding templates for total hip arthroplasty in Crowe type IV developmental dysplasia of the hip

2020 ◽  
pp. 112070002094800
Author(s):  
Qiang Tu ◽  
Huan-wen Ding ◽  
Hu Chen ◽  
Jian-jian Shen ◽  
Qiu-ju Miao ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Surgical Planning ◽  
Developmental Dysplasia ◽  
Femoral Osteotomy ◽  
Lower Limbs ◽  
Total Hip ◽  
Type Iv ◽  
3D Printed ◽  
Dysplasia Of The Hip

Objective: To evaluate the feasibility and accuracy of three-dimensional (3D)-printed individualised guiding templates in total hip arthroplasty (THA) for the treatment of developmental dysplasia of the hip (DDH). Methods: 12 hips in 12 patients with Crowe type IV DDH were treated with THA. A 3D digital model of the pelvis and lower limbs was reconstructed using the computed tomography data of the patients. Preoperative surgical simulations were performed to determine the most suitable surgical planning, including femoral osteotomy and prosthesis placement. Based on the ideal surgical planning, individualised guiding templates were designed by software, manufactured using a 3D printer, and used in acetabulum reconstruction and femoral osteotomy during surgery. Results: 12 patients were followed up for an average of 72.42 months (range 38–135 months). During surgery, the guiding template for each case was matched to the bony markers of the acetabulum and proximal femur. Preoperative and follow-up Harris hip scores were 34.2 ± 3.7 and 85.2 ± 4.2; leg length discrepancy, 51.5 ± 6.5 mm and 10.2 ± 1.5 mm; and visual analogue scale scores, 6.2 ± 0.8 and 1.3 ± 0.3, respectively, with statistical difference. Shortened deformity and claudication of the affected limb were obviously improved after surgery. However, 1 patient had artificial hip dislocation 2 weeks after surgery, and another patient had sciatic nerve traction injury, both of whom recovered after physical treatment. Conclusions: Preoperative surgical simulation and 3D-printed individualised guiding templates can fulfil surgeon-specific requirements for the treatment of Crowe type IV DDH. Accurate THA can be achieved using 3D-printed individualised templates, which provide a new personalised surgical plan for the precise positioning and orientation of acetabular reconstruction and femoral osteotomy.

Small Diameter Acetabulum and Femoral Head in Total Hip Arthroplasty for Developmental Dysplasia of the Hip, with no Femoral Osteotomy

2015 ◽  
Vol 25 (3) ◽  
pp. 209-214 ◽  
Author(s):  
Dionysios-Alexandros Verettas ◽  
Pelagia Chloropoulou ◽  
Konstantinos Xarchas ◽  
Georgios Drosos ◽  
Athanasios Ververidis ◽  
...  
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Small Diameter ◽  
Developmental Dysplasia ◽  
Femoral Osteotomy ◽  
Total Hip ◽  
Dysplasia Of The Hip

Challenges in Total Hip Arthroplasty in the Setting of Developmental Dysplasia of the Hip

2017 ◽  
Vol 32 (9) ◽  
pp. S38-S44 ◽  
Author(s):  
Eric M. Greber ◽  
Christopher E. Pelt ◽  
Jeremy M. Gililland ◽  
Mike B. Anderson ◽  
Jill A. Erickson ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Developmental Dysplasia ◽  
Total Hip ◽  
Dysplasia Of The Hip

Dislocation After Total Hip Arthroplasty Among Patients With Developmental Dysplasia of the Hip

2012 ◽  
Vol 27 (5) ◽  
pp. 764-769 ◽  
Author(s):  
Liao Wang ◽  
Robert T. Trousdale ◽  
Songtao Ai ◽  
Kai-Nan An ◽  
Kerong Dai ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Developmental Dysplasia ◽  
Total Hip ◽  
Dysplasia Of The Hip

Evaluation of medial acetabular wall bone stock in patients with developmental dysplasia of the hip using a helical computed tomography multiplanar reconstruction technique

2009 ◽  
Vol 50 (7) ◽  
pp. 791-797 ◽  
Author(s):  
Rui Yu Liu ◽  
Kun Zheng Wang ◽  
Chun Sheng Wang ◽  
Xiao Qian Dang ◽  
Zhi Qin Tong
Keyword(s):  
Computed Tomography ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Developmental Dysplasia ◽  
Helical Computed Tomography ◽  
Reconstruction Technique ◽  
Bone Stock ◽  
Total Hip ◽  
Dysplasia Of The Hip ◽  
Acetabular Wall

Background: The technique of medialization has been used to reconstruct acetabula at the level of true acetabula in total hip arthroplasty (THA) in patients with developmental dysplasia of the hip (DDH). Appreciation of the bone stock in the medial acetabular wall is significant for making an optimal acetabular reconstruction plan and avoiding complications. Purpose: To evaluate the bone stock of the medial acetabular wall and its relation to the degree of subluxation in patients with DDH using computed tomography (CT). Material and Methods: Helical CT scans of 27 hips were obtained from 21 patients with osteoarthritis secondary to DDH who were scheduled for total hip arthroplasty. Eleven hips belonged to Crowe class I, while 16 hips belonged to Crowe class II/III. The raw CT data were reprocessed in various planes by scrolling multiplanar reformation (MPR). Acetabular opening, depth, and medial bone stock, as indicated by the minimum thickness of the medial acetabular wall, were measured in the transverse reformed MPR plane. Results: The minimum thicknesses of the medial acetabular wall in Crowe-I and Crowe-II/III hips were 3.8±2.1 mm and 7.1±3.1 mm, respectively, with statistically significant differences between the groups ( P<0.05). Furthermore, the bone stock in the medial acetabular wall correlated with the degree of subluxation ( R=0.69) and the acetabular depth ( R= ;− ;0.71). Conclusion: There was significantly more bone stock in the medial acetabular wall in patients with higher-degree subluxation than there was in the less-severe class. This difference should be taken into consideration when reconstructing acetabula in THA in patients with DDH using the technique of medialization.

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