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TOTAL HIP ARTHROPLASTY IN COMBINATION WITH A DOUBLE V-SHAPED SUBTROCHANTERIC SHORTENING OSTEOTOMY OF HIP IN PATIENTS WITH DYSPLASTIC COXARTHRITIS TYPE CROWE IV

Annotation

The authors offer a way to retrofit a double V-shaped subtrochanteric shortening osteotomy in total hip arthroplasty in patients with dysplastic coxarthritis type Crowe IV. This surgery was performed in 35 patients (45 operations) were treated in FGBI "SarNIITO" from 2006 to 2013. Mean follow-up of the results – 5.5 ± 0.5 years. Bringing down of the femur using this method averaged 4.2 ± 0.3 cm (from 3 to 11 cm). Obtained good functional results according to Harris hip score: preoperative average score – 49 ± 0.5 (32 to 60 points), after surgery – 84 ± 0.5 (70 to 92 points). During follow-up after the intervention was not revealed any case of instability endoprosthesis components, audit, neurological complications. Thus, the proposed double V-shaped subtrochanteric osteotomy shortens the hip with total hip replacement in patients with dysplastic coxarthritis type Crowe IV demonstrated excellent and good short-and medium-term anatomical and functional results in 30 (85.7 %) patients.

Keywords

hip joint; osteotomy; hip replacement; coxarthrosis.

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UDC

617.581

Pages

970-976

References

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Received

20.05.2014

Section of issue

Scientific articles

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