期刊
JOURNAL OF ARTHROPLASTY
卷 29, 期 3, 页码 626-629出版社
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2013.07.038
关键词
total hip arthroplasty; subtrochanteric shortening osteotomy; crowe grade 4 dysplasia; direct anterior approach; Trendelenburg limp; duchenne limp
类别
Between September 2006 and June 2011, 1521 primary total hip arthroplasties were performed using the direct anterior approach on a standard surgical table. In 12 hips, subtrochanteric shortening osteotomy was required. Full weight bearing was allowed 1 week after surgery. The mean follow-up period was 3.7 years. All patients limped preoperatively, but no patient had a positive Trendelenburg or Duchenne limp at the last follow-up. On the basis of our findings, we believe that the direct anterior approach is a safe and reproducible technique for total hip arthroplasty with subtrochanteric shortening osteotomy in the case of Crowe grade 4 dysplasia. It allows the steady recovery of the abductor muscles, a shorter period to postoperative partial weight bearing, and elimination of limping. (C) 2014 Elsevier Inc. All rights reserved.
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