Two Different Total Hip Arthroplasties for Hartofilakidis Type C1 Developmental Dysplasia of Hip in Adults

作     者：Ya-Ming Chu Yi-Xin Zhou Na Han De-Jin Yang Chu Ya-Ming;Zhou Yi-Xin;Han Na;Yang De-Jin

作者机构：Department of Orthopedic Surgery Beijing Jishuitan Hospital Beijing 100035 China Department of Orthopedic Surgery Peking University People's Hospital Beijing 100044 China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2016年第129卷第3期

页      面：289-294页

核心收录：

学科分类：0810[工学-信息与通信工程] 1002[医学-临床医学] 0905[农学-畜牧学] 08[工学] 09[农学] 081001[工学-通信与信息系统] 

主　　题：Developmental Dysplasia of the Hip Dislocation Osteotomy Subtrochanteric Total Hip Arthroplasty 

摘      要：Background： Total hip arthroplasty （THA） in developmental dysplasia of the hip （DDH） is more complex than the normal hip, with large replacement risks and many *** nonosteotomy THA is convenient to perform, femoral osteotomy shortening can avoid blood vessel and nerve traction *** study aimed to compare osteotomy THA with nonosteotomy to determine reasonable options for operative management of ***： Data on 48 DDH patients who underwent THA were analyzed *** patients were divided into two groups： Group A 29 cases （nonosteotomy）, and group B 19 cases （osteotomy）.Harris and Western Ontario and McMaster Universities Osteoarthritis Index （WOMAC） scores, limb length discrepancy （LLD）, radiological data on the hip, and claudication were *** were analyzed by using paired-sample Student＆#39;s t-test, independent-sample Student＆#39;s t-test, and Pearson＆#39;s Chi-square test;the test level was α =***： Postoperative Harris （90.7 ＆#177; 5.1） and WOMAC scores （88.0 ＆#177; 10.6） were significantly improved compared with preoperative Harris （44.8 ＆#177; 5.7） and WOMAC scores （42.0 ＆#177; 5.3） in group A （P 〈 0.05）.Postoperative Harris （90.4 ＆#177; 2.8） and WOMAC scores （88.2 ＆#177; 5.9） were significantly improved compared with preoperative Harris （44.4 ＆#177; 4.2） and WOMAC scores （43.2 ＆#177; 4.3） in group B （P 〈 0.05）.One case of dislocation occurred in group A;after closed reduction, dislocation did not *** group A, 2 patients developed cutaneous branch injury of the femoral nerve, which spontaneously recovered without *** LLD 〉2 cm was seen in one case in group A and five cases in group *** claudication showed no significant difference between the two groups （P 〉 0.05）.No patients developed infection;postoperative X-rays showed that the location of the prosthesis was satisfactory, and the surrounding bone was not ***： THA is effective and safe for DD