Cementless total hip arthroplasty for severely dislocated hips previously treated with Schanz osteotomy of the proximal femur

Cementless total hip arthroplasty for severely dislocated hips previously treated with Schanz... Introduction We report the short-term outcomes of total hip arthroplasty(THA) in patients previously treated with Schanz osteotomy (SO). Materials and methods Eighteen patients [2 male, 16 female; mean age, 55.4 (range, 50–66) years] who had undergone THA after SO were retrospectively evaluated. Clinical evaluation was performed based on the Harris hip score. Radiological evaluation was performed using full-length radiographs of the lower extremities, pelvis, and hip. Results The mean follow-up period was 30.8 (range, 18–56) months. Mean femoral shortening was 3.7 (range, 2–5) cm. Perioperative complications occurred in 4 (22.2%) patients. Nonunion was not found at the osteotomy sites. No dislocation was observed. The Trendelenburg sign was positive for five (27.7%) patients, postoperatively. The mean Harris hip score improved from 42.7 to 78.7 (p < 0.05). Conclusion THA for hips previously treated with SO is technically demanding. If careful preoperative planning is performed, successful treatment can be achieved. Keywords Schanz osteotomy · Proximal femur · Total hip replacement · Harris hip score Introduction In some cases, hardware needs to be removed at the time of THA and prior surgeries do increase the risk of deep Schanz osteotomy (SO) is a palliative procedure for patients implant infections [2–4]. However, few studies have reported with neglected http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Orthopaedic and Trauma Surgery Springer Journals

Cementless total hip arthroplasty for severely dislocated hips previously treated with Schanz osteotomy of the proximal femur

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2018 by Springer-Verlag GmbH Germany, part of Springer Nature
Subject
Medicine & Public Health; Orthopedics
ISSN
0936-8051
eISSN
1434-3916
D.O.I.
10.1007/s00402-018-2879-z
Publisher site
See Article on Publisher Site

Abstract

Introduction We report the short-term outcomes of total hip arthroplasty(THA) in patients previously treated with Schanz osteotomy (SO). Materials and methods Eighteen patients [2 male, 16 female; mean age, 55.4 (range, 50–66) years] who had undergone THA after SO were retrospectively evaluated. Clinical evaluation was performed based on the Harris hip score. Radiological evaluation was performed using full-length radiographs of the lower extremities, pelvis, and hip. Results The mean follow-up period was 30.8 (range, 18–56) months. Mean femoral shortening was 3.7 (range, 2–5) cm. Perioperative complications occurred in 4 (22.2%) patients. Nonunion was not found at the osteotomy sites. No dislocation was observed. The Trendelenburg sign was positive for five (27.7%) patients, postoperatively. The mean Harris hip score improved from 42.7 to 78.7 (p < 0.05). Conclusion THA for hips previously treated with SO is technically demanding. If careful preoperative planning is performed, successful treatment can be achieved. Keywords Schanz osteotomy · Proximal femur · Total hip replacement · Harris hip score Introduction In some cases, hardware needs to be removed at the time of THA and prior surgeries do increase the risk of deep Schanz osteotomy (SO) is a palliative procedure for patients implant infections [2–4]. However, few studies have reported with neglected

Journal

Archives of Orthopaedic and Trauma SurgerySpringer Journals

Published: Feb 2, 2018

References

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