Risk factors for gait disorder after total hip replacement in patients with developmental dysplasia of the hip
10.3969/j.issn.1009-0754.2025.01.015
- VernacularTitle:发育性髋关节发育不良患者全髋置换术后步态障碍的危险因素分析
- Author:
Wenqing LU
1
;
Jianhua HU
;
Danqing LU
;
Jun JI
;
Yunfeng WAN
Author Information
1. 215300 江苏 苏州,昆山市第二人民医院骨科
- Keywords:
Developmental dysplasia of the hip;
Total hip replacement;
Gait disorder;
Risk factor
- From:
Journal of Navy Medicine
2025;46(1):68-71
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk factors for gait disorder in patients with developmental dysplasia of the hip(DDH)after total hip replacement.Methods Sixty DDH patients who underwent total hip replacement at The Second People's Hospital of Kunshan from August 2018 to August 2023 were selected as research objects.Of them,19 patients with gait disorders were assigned to observation group,and 41 without gait disorders were taken as control group.Univariate and multivariate logistic regression analyses were conducted to identify the risk factors for gait disorders in DDH patients after total hip replacement.Results There was no significant difference in the gender,age,disease duration,place of residence,educational level,American Society of Anesthesiologists(ASA)grade,surgical time,intraoperative blood loss,Tonnis classification,or symmetrical skin lines on lower limbs between the two groups(P>0.05).But there were significant differences in terms of equal length of lower limbs,anterior pelvic tilt,cerebral small vessel disease,Parkinson disease,and peripheral nerve injury in lower limbs between the two groups(P<0.05).Equal length of lower limbs,anterior pelvic tilt,cerebral small vessel disease,Parkinson disease,and peripheral nerve injury in lower limbs were risk factors for gait disorders in DDH patients after total hip replacement(P<0.05).Conclusion The occurrence of gait disorders is related to the equal length of lower limbs,anterior pelvic tilt,cerebral small vessel disease,Parkinson disease,and peripheral nerve injury in lower limbs in DDH patients after total hip replacement.Symptomatic treatment should be given timely so as to prevent gait disorders and improve the prognosis.
