ArticleInternational orthopaedics2012
The techniques of soft tissue release and true socket reconstruction in total hip arthroplasty for patients with severe developmental dysplasia of the hip.
Article in International orthopaedics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 45 citations in OpenAlex.
- Total HIP Arthroplasty in a dysplastic HIP with proximal femoral focal deficiency.Journal of clinical orthopaedics and trauma · 2025Article
- Assessment and quantitative analysis of hip surrounding muscles in children with developmental dysplasia of the hip via magnetic resonance imaging.Journal of orthopaedic surgery and research · 2024Article
- Specific approach to total hip arthroplasty in patients with childhood hip disorders sequelae.World journal of orthopedics · 2024Article
- Total Hip Arthroplasty with Extra-small Femoral Stems in Extremely Hypoplastic Femurs: A Case-Series Study.Clinics in orthopedic surgery · 2024Article
- Total Hip Arthroplasty Following the Girdlestone Procedure in a Sickle Cell Disease Patient.Cureus · 2024Article
- Review
- Direct Anterior Approach in Total Hip Arthroplasty for Severe Crowe IV Dysplasia: Retrospective Clinical and Radiological Study.Medicina (Kaunas, Lithuania) · 2024Article
- Minimal pre-operative leg length discrepancy as a risk factor of post-operative leg length discrepancy after total hip arthroplasty: a retrospective study of patients with non-traumatic osteonecrosis of the femoral head.BMC musculoskeletal disorders · 2023Article
- Cementless modular total hip arthroplasty with subtrochanteric transverse shortening osteotomy for high hip dislocations.Journal of orthopaedic surgery and research · 2022Article
- Avascular Necrosis of the Hip Compromises Gait Balance Control in Female Juveniles With Unilateral Developmental Dysplasia Treated in Toddlerhood.Frontiers in bioengineering and biotechnology · 2022Article
- Review
- A propensity score-matched analysis between patients with high hip dislocation after childhood pyogenic infection and Crowe IV developmental dysplasia of the hip in total hip arthroplasty with subtrochanteric shortening osteotomy.Journal of orthopaedic surgery and research · 2020Article
- Mid-term and long-term results of restoring rotation center in revision hip arthroplasty.Journal of orthopaedic surgery and research · 2020Article
- Crowe Type IV Hip Dysplasia Treated by THA Comebined with Osteotomy to Balance Functional Leg Length Discrepancy: A Prospective Observational Study.Orthopaedic surgery · 2020Observational
- Dislocation Height Performs Well in Predicting the Use of Subtrochanteric Osteotomy in Crowe Type IV Hips.Therapeutics and clinical risk management · 2020Article
- Long-term results of total hip arthroplasty in developmental dysplasia of hip patients.Joint diseases and related surgery · 2020Article
- Total Hip Arthroplasty for Crowe Type IV Hip Dysplasia: Surgical Techniques and Postoperative Complications.Orthopaedic surgery · 2019Review
- Total Hip Arthroplasty with Modular Stem for Dysplastic Hips in South Asian Population.The archives of bone and joint surgery · 2019Article
- [A study of total hip arthroplasty with subtrochanteric osteotomy in Crowe typeZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018Article
- Anatomic placement of the acetabulum improves the survival rate in patients with Crowe type-II dysplasia undergoing total hip arthroplasty.Annals of translational medicine · 2016Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTotal hip arthroplasty (THA) is an effective procedure for developmental dysplasia of the hip (DDH); however, it is sometimes difficult to complete for severe cases because of femoral head dislocation, dysplasia of the acetabulum and the femur, disparity in limb length, soft tissue contraction, and muscular atrophy. We aimed at exploring the efficiency of the techniques of release and balance of soft tissues and reconstruction of true socket THA for patients with severe DDH.
methodsFrom January 2000 to January 2009, 46 adult patients with severe DDH (50 hips) were included in this study. According to the classification system, there were 26 type III and 24 type IV. Among them there were 32 women and 14 men, aged from 38 to 77 years. THA was performed via a lateral approach. All acetabular sockets were reconstructed at the original anatomical location following a meticulous technique of soft tissue release and balance around the hip to restore limb length, to strengthen the abductor and improve its function.
resultsAll patients had restoration of limb length (range, 2.5-5.5 cm; 30 limbs of more than 4 cm) without injury to the sciatic nerve. One postoperative dislocation occurred due to slight enlargement of the angle of abduction of the acetabulum. The follow-up ranged from 2.2 to 11.5 years (median 6.4 years) in 46 patients, and the Harris score increased from 40.2 preoperatively to 86.5 (P = 0.027). All hips were pain free with good function at the latest follow-up.
conclusionThe meticulous techniques of soft tissue release and balance can be recommended to ensure anatomical reconstruction of the true acetabular socket and to improve abductor function during arthroplasty for DDH.
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