scholarly journals Osteochondral autograft transplantation of the femoral head in sequelae of developmental dysplasia of hip: A case report and review of the literature

2020 ◽  
Vol 31 (3) ◽  
pp. 619-625
Author(s):  
Burak Kaymaz
2021 ◽  
pp. 6005-6010

Developmental dysplasia of hip (DDH) represents a spectrum of disorders in which the femoral head has an abnormal relationship to the acetabulum. Management of DDH presenting in walking stage are primarily surgical because of changes in femoral head, acetabulum and soft tissues around joint. We looked at the incidence of AVN during midterm follow up period in DDH patients in the walking age group who had undergone single stage surgery. Also it evaluates association of different variables with occurrence of AVN. The AVN of head of femur is assessed according to Kalamchi and MacEwen’s classification and AVN gradings were compared with different surgical procedures. In our study, higher incidence of AVN was seen patients who were operated at a higher age, who had higher preoperative Tonnis grading and those who required osteotomies with open reduction. But statistically significant correlation could not be established independently with any of the above mentioned variables.


Author(s):  
Juzer Bagwala ◽  
Susheel Soni

<p class="abstract"><strong>Background:</strong> The objective of the study was to evaluate CE Angle of Wiberg for the functional outcome in various hip pathologies.</p><p class="abstract"><strong>Methods:</strong> This is a non-randomised prospective, observational study carried out for the period of 15 months. In this study 35 hips of 28 patients with hip pathologies with age more than 5 years of both genders, hip pathologies like CAM and/or Pincer type of femoroacetabular impingement, Acetabular retroversion, Perthes like deformity, osteoarthritis hip, avascular necrosis of femoral head, developmental dysplasia of hip were studed.<strong></strong></p><p class="abstract"><strong>Results:</strong> In this prospective study out of 28 patients 9 (32.14%) were FAI, 8 (28.57%) were OA hip, 8 (28.57%) were avascular necrosis of femoral head and 3 case (10.71%) is of Perthes' disease. In FAI cases 4(44.44%) patients were of Pincer type, 5 (55.55%) were of combined type with no any case of isolated CAM form. All were unilateral involvement with average CE angle of 32.67<sup>0</sup>±11.67<sup>0</sup>. In Pincer type mean CE angle was 36.25<sup>0 </sup>±7.5<sup>0 </sup>while in Combined form the mean CE angle was 29.8<sup>0</sup>±14.4<sup>0</sup>. Out of 4 patients of Pincer FAI, 3 patients of Pincer type had CE angle between 25<sup>0</sup>-40<sup>0 </sup>which comes under normal range of CE angle, so all were planned for non operative management.</p><strong>Conclusions:</strong> We have found that all the hip pathologies reported to us had spectrum of variations in CE angle depending on the severity of disease. Variation was maximum seen in osteoarthritis and femoroacetabular impingement, in the cases of FAI maximum was of Pincer type.


2002 ◽  
Vol 12 (4) ◽  
pp. 397-399 ◽  
Author(s):  
S.R. Annapureddy ◽  
T.W.L Chapman ◽  
G.J. Charnley

We report a case of hereditary multiple exostoses (HME) presenting with avascular necrosis of the femoral head and mechanical impingement of an exostosis treated by total hip replacement.


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