Analysis of dissatisfaction and related factors following total hip arthroplasty in patients with Crowe type Ⅲ-Ⅳ de-velopmental dysplasia of the hip
10.12200/j.issn.1003-0034.20220746
- VernacularTitle:Crowe Ⅲ-Ⅳ型DDH患者全髋关节置换术后不满意及相关因素分析
- Author:
Peng ZHAO
1
;
Yu-Jun LI
;
Yong DOU
;
Da-Cheng WANG
Author Information
1. 北京大学第三医院延庆医院北京市延庆区医院骨科,北京 102100
- Keywords:
High dislocated;
Developmental dysplasia of the hip;
Crowe Ⅲ-Ⅳ;
Total hip arthroplsaty;
Satisfaction
- From:
China Journal of Orthopaedics and Traumatology
2024;37(4):363-367
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the satisfaction of patients with Crowe Ⅲ-Ⅳ developmental dysplasia of the hip(DDH)after total hip arthroplasty and the related factors.Methods A retrospective study included 169 patients with Crowe type Ⅲ-Ⅳ DDH who underwent total hip arthroplasty between March 2013 and March 2018.Patients were surveyed through WeChat,covering overall satisfaction with the operation,satisfaction with ten daily functions,and the top five questions per-ceived to have a great impact on daily life.Preoperative and postoperative hip function was evaluated by Harris score.Results One hundred and forty-five questionnaires were received,with a follow-up period ranging from 1 to 5 years with an average of(3.23±1.22)years.Among these patients,118 patients were satisfied with the surgical outcomes,while 27 patients were dissat-isfied,with the overall satisfaction rate of 81.38％(118/145).The top five problems affecting patient life were postoperative hip pain,limb length discrepancy,walking,stair climbing,and squatting.There were no statistical differences in age,sex,body mass index,preoperative Harris scores(P＞0.05).However,the dissatisfied group had lower postoperative Harris scores.Post-operative hip pain and limb length discrepancy were identified as direct factors contributing to postoperative surgical dissatis-faction.Conclusion Total hip arthroplasty for patients with Crowe type Ⅲ-Ⅳ DDH is challenging.Postoperative hip pain(mild or severe)and limb length discrepancy(＞2 cm)are independent risk factors for postoperative dissatisfaction.
