Medium- to Long-term Clinical Efficacy of Total Hip Arthroplasty with Structural Bone Grafting for Dysplasia of the Hip

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2024 May 1

PMID 38691141

Authors

Shuo Feng

Ning Liu

Long Huang

Geng-Ao Wen

Guo-Chun Zha

Jun Zhang

Affiliations

Soon will be listed here.

Abstract

Background: Patients with dysplasia of the hip (DDH) have different degrees of bone defects above and outside the acetabulum, and anatomically reconstructing the acetabular centre of rotation is difficult in primary total hip arthroplasty (THA).

Methods: From April 2012 to December 2022, 64 patients (64 hips) with DDH treated with THA with structural bone graft in the superolateral acetabulum were selected. The Oxford hip score(OHS), Barthel index (BI), leg length discrepancy, Wibegr central edge-angle(CE), gluteus medius muscle strength, vertical and horizontal distance of the hip rotation center, coverage rate of the bone graft and complications were used to evaluate the clinical effectiveness of the patients.

Results: All patients were followed up for an average of 7.3±1.9 years. The OHS improved significantly after the operation (P<0.001). The postoperative BI was significantly greater than that before operation (P<0.001). The postoperative leg length discrepancy was significantly lower than that before the operation (P<0.001). Postoperative bedside photography revealed that the height and horizontal distance to the hip rotation center were significantly lower after surgery than before surgery (P<0.001). The postoperative CE was significantly greater than that before surgery (P<0.001). No acetabular component loosening or bone graft resorption was found during the postoperative imaging examination.

Conclusions: The use of biological acetabular cup combined with structural bone graft in the superolateral acetabulum in THA for DDH can obtain satisfactory medium and long-term clinical and radiological results.

Citing Articles

Chiropractic rehabilitation in accelerated rehabilitation after total hip arthroplasty for Crowe type IV hip dysplasia.

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Paediatric orthopaedics: a special issue dedicated to current concepts and recent progress.

Canavese F, Fucs P, Johari A Int Orthop. 2024; 48(6):1367-1371.

PMID: 38683379 DOI: 10.1007/s00264-024-06185-6.

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