Total hip arthroplasty with soft tissue release for patients with severe development dysplasia of the hip
10.11817/j.issn.1672-7347.2018.01.009
- VernacularTitle:全髋关节置换术合并软组织松解治疗重度发育性髋关节脱位的临床效果
- Author:
Sisi WANG
1
;
Ming ZENG
;
Xianghong ZHANG
;
Tang LIU
Author Information
1. 中南大学湘雅二医院骨科
- Keywords:
total hip arthroplasty;
development dysplasia of the hip;
soft tissue release;
osteoarthritis
- From:
Journal of Central South University(Medical Sciences)
2018;43(1):54-57
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effect of total hip replacement with soft tissue release and true acetabulum reconstruction on treating osteoarthritis secondary to severe development dysplasia of the hip.Methods:From January 2005 to January 2011,23 hips in 21 patients with osteoarthritis secondary to Crowe Ⅲ development dysplasia of the hip underwent total hip arthroplasty with soft tissue release and true acetabulum reconstruction.There were 18 females and 3 males.The age was (45.1±13.2) years.Two patients underwent bilateral total hip arthroplasty (THA) and 19 cases underwent unilateral hip.The Harris hip score was 39.7±5.6.Results:The duration of follow up was (110±46) months.The symptoms of patients were relieved,and all the patients' femur head recovered to the true acetabulum after soft tissue released.Sciatic nerve paralysis occurred in one patient,who recovered after 3 months.All patients showed restoration of limb length,while the limb-length discrepancy was (11.0±3.5) mm.The postoperation Harris hip score was 87.2±5.9.Conclusion:Total hip arthroplasty with soft tissue release and true acetabulum reconstruction was an effective method in treating osteoarthritis secondary to Crowe Ⅲ development dysplasia of the hip and was a challenging work to the orthopedic surgeon.It was critical the surgeon to plan the operative intervention carefully.
