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Total hip arthroplasty for developmental hip dysplasia

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Abstract

We reviewed 38 hip replacements in 33 female patients (mean age 55.3 years) with developmental hip dysplasia. One patient had died and the remaining 32 patients (36 hips) had a mean follow-up of 12.2 years (range 8–19 years). All hips were replaced using the Müller cemented implant, and in 32 hips bulk femoral head autograft was used. In 33 hips the socket was reconstructed at the level of the true acetabulum. Complications included one intra-operative femoral fracture and two early dislocations. Correction of leg length discrepancy was possible in 30 patients. The post-operative mean modified Merle d’Aubigne and Postel scores for pain, movement and walking were 5.9, 5, and 5.3 respectively. One cup was revised due to aseptic loosening at ten years. All grafts united, but minor graft resorption was noticed in 24 hips, moderate in 2 hips and major in 1 hip.

Résumé

Nous avons examiné 38 remplacements prothétiques de la hanche chez 33 femmes (âge moyen 55,3 ans) avec une dysplasie de la hanche. Une patiente était décédée et les 32 autres (36 hanches) avaient un suivi moyen de 12,2 ans ( 8 à 19). Toutes les hanches ont eu un implant type Müller cimenté et pour 32 une autogreffe massive de tête fémorale a été utilisé. Pour 33 hanches la cavité a été reconstruite au niveau du paléo-cotyle. Les complications comprenaient une fracture fémorale opératoire et deux luxations précoces. La correction de l’inégalité de longueur des membres inférieurs était obtenue chez 30 malades. Le score postopératoire modifié de Merle d’Aubigné et Postel pour la douleur, la mobilité et la marche étaient en moyenne de 5,9, 5 et 5,3 respectivement. Une cupule a été révisée pour un descellement aseptique à 10 ans. Toutes les greffes ont consolidé, mais une résorption mineure de la greffe a été remarquée dans 24 hanches, une résorption modéré dans deux hanches et majeure dans une.

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Authors and Affiliations

  1. Second University Department of Orthopaedics, Constantopoulion “St. Olga” Hospital, National & Kapodistrian University, 4, Moschopoleos Street, Papagou, 156 69, Athens, Greece

    G. Papachristou, P. Hatzigrigoris, K. Panousis, S. Plessas, J. Sourlas, C. Levidiotis & E. Chronopoulos

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  1. G. Papachristou
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  2. P. Hatzigrigoris
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  3. K. Panousis
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  4. S. Plessas
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  5. J. Sourlas
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  6. C. Levidiotis
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  7. E. Chronopoulos
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Correspondence to G. Papachristou.

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Papachristou, G., Hatzigrigoris, P., Panousis, K. et al. Total hip arthroplasty for developmental hip dysplasia. International Orthopaedics (SICO 30, 21–25 (2006). https://doi.org/10.1007/s00264-005-0027-1

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  • DOI: https://doi.org/10.1007/s00264-005-0027-1

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