Total hip arthroplasty for severe congenital dislocation of adult hip mellitus
- VernacularTitle:成人严重先天性髋脱位的人工全髋关节置换术
- Author:
Jianning ZHAO
;
Ting GUO
;
Liwu ZHOU
- Publication Type:Journal Article
- Keywords:
Congenital hip dislocation;
Artificial prosthesis;
Acetabular reconstruction;
Extend;
Joint replacement
- From:
Orthopedic Journal of China
2006;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To discuss the methods and results of total hip arthroplasty for the adult hip of severe congenital dislocation.[Method]Thirteen patients with unilateral Crowe type-Ⅳ dislocation underwent total hip replacement.All patients were distracted for two weeks preoperatively,and in the operation procedure,the acetabulat rotation center and abductor function were reconstructed on the basis of soft tissue release.The evaluations after surgery included the leg-length and Harris scores.[Result]According to the follow-up with an average of 18 months,the Harris hip score averaged 90 points.The leg-length extended 3.1 cm on average.One patient appeared sciatic nerve palsy.[Conclusion]Total hip arthroplasty could effectively treat server congenital dislocation of adult hip by the methods of tissue release,reconstruction of acetabular,proper selection of prosthetic and protection of nerve.
