Clinical Effect of Total Hip Arthroplasty for Adult Crowe TypeⅣ Developmental Dysplasia of the Hip
Abstract：Objective This study was designed to evluate the clinical efficacy of total hip arthroplasty(THA)with acetabular reconstruction and transverse subtrochanteric shortening osteotomy in adult CroweⅣ DDH in plateau.Meth-ods Crowe Ⅳ type DDH adult patients 15 hips including 4 male patients (4 hips)and 10 females (11 hips),with aver-age age at (36±8)years old (range from 23 to 56 years),underwent acetabular reconstruction and transverse subtro-chanteric shortening osteotomy during THA from May 2009 to May 2013.Biological acetabular cup and S-ROM femo-ral prosthesis with ceramic-ceramic interface was used and preoperative and postoperative Harris score were assessed for evaluating the efficacy and analyzed statistically.Results 13 cases (14 hips)were followed up (except one case was lost)for 23 months averagely (range 18~36 months).Preoperative and postoperative Harris score was (38.56±3.67) and (85.43±2.89)points respectively.Postoperative hip joint function was significantly improved and pain reduced. Conclusion It is safe and effective to perform THA with acetabular reconstruction and transverse subtrochanteric shortening osteotomy in Crowe type Ⅳ adult DDH patients.
Keywords：total hip arthroplastycrowe Ⅳdevelopmental dysplasia of the hip in adult
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 252-256 )