Evidence map›Paper›PMID 35915263›Full record

ArticleArchives of orthopaedic and trauma surgery2023

Total hip arthroplasty with femoral shortening osteotomy using polished cemented stem vs. modular cementless stem in patients with Crowe type IV developmental dysplasia of the hip.

Takuji Miyazaki, Tomohiro Shimizu, Hisanori Ohura, Naoyuki Katayama, Norimasa Iwasaki, Daisuke Takahashi

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Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Takuji Miyazaki *Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo, 060-8638, Japan.
Tomohiro Shimizu *Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo, 060-8638, Japan.
Hisanori OhuraDepartment of Orthopaedic Surgery, Hokkaido Orthopaedic Memorial Hospital, Sapporo, Japan.
Naoyuki KatayamaDepartment of Orthopaedic Surgery, Hokkaido Orthopaedic Memorial Hospital, Sapporo, Japan.
Norimasa IwasakiDepartment of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo, 060-8638, Japan.
Daisuke TakahashiDepartment of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo, 060-8638, Japan. rainbow-quest@pop02.odn.ne.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is still little information regarding the advantages of a using a polished tapered stem for Crowe Type IV developmental dysplasia of the hip (DDH). This study aimed to investigate the mid-term clinical and radiological outcomes of primary total hip arthroplasty (THA) with femoral shortening osteotomy using modular and polished tapered stems and to compare the results between the modular and polished tapered stems. MATERIALS AND

methodsThis retrospective review included 32 patients (37 hips) with Crowe type IV DDH who underwent primary THA with femoral shortening osteotomy using a modular stem (cementless group, 14 hips) or a polished tapered stem (cement group, 23 hips) between 1996 and 2018. Clinical data and radiographic assessments were reviewed to analyze the differences between the two groups.

resultsThe mean duration of patient follow-up of the cementless group (134.4 months) was longer than that of the cement group (75.5 months). There were no differences in clinical results, time of bone union, and survival rate between the two groups. However, the cementless group exhibited a higher ratio of intraoperative fracture and thinning of cortical bone including stress shielding, medullary changes, stem alignment changes, and osteolysis, compared to the cement group.

conclusionsThe findings of this study suggest that THA with femoral shortening osteotomy using both cemented and modular stems can provide satisfactory results. However, considering the occurrence of intraoperative fracture and radiographic analysis in the current study, the cement stem may have an advantage for patients with bone fragility and deterioration in bone quality.

Indexed as

Arthroplasty, Replacement, HipDevelopmental Dysplasia of the HipHip Dislocation, CongenitalBone CementsFemurFollow-Up StudiesHumansOsteotomyRetrospective StudiesBone CementsCemented stemFemoral shortening osteotomyModular stemStem alignmentTotal hip arthroplasty

Identifiers

PMID35915263

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