Effectiveness Comparison of Modular and Monoblock Femoral Prosthesis with Subtrochanteric Shortening Osteotomy in  CroweType IV Developmental Dysplasia of the Hip

Zheng-gang LI; Xin-hua CUN; Xing TANG; Guo-liang WANG; Yi YANG; Jia-hui CHEN; Biao LI

doi:10.12259/j.issn.2095-610X.S20210115

Volume 42 Issue 1

Jan. 2021

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Zheng-gang LI, Xin-hua CUN, Xing TANG, Guo-liang WANG, Yi YANG, Jia-hui CHEN, Biao LI. Effectiveness Comparison of Modular and Monoblock Femoral Prosthesis with Subtrochanteric Shortening Osteotomy in CroweType IV Developmental Dysplasia of the Hip[J]. Journal of Kunming Medical University, 2021, 42(1): 99-105. doi: 10.12259/j.issn.2095-610X.S20210115

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Effectiveness Comparison of Modular and Monoblock Femoral Prosthesis with Subtrochanteric Shortening Osteotomy in CroweType IV Developmental Dysplasia of the Hip

doi: 10.12259/j.issn.2095-610X.S20210115

1.
Dept. of Orthropaedics，The First Affilicated Hospital of Kunming Medical University，Kunming Yunnan 650032
2.
Dept. of Orthropaedics，The Third People’s Hospital of Kunming，Kunming Yunnan 650041
3.
Dept. of Sports Medicine，The First Affilicated Hospital of Kunming Medical University，Kunming Yunnan 650032，China

Received Date: 2020-07-06
Available Online: 2021-01-26
Publish Date: 2021-01-26

Abstract

Abstract

Objective To compare the clinical efficacy of modular S-ROM femoral prosthesis and monoblock Wagner Cone femoral prosthesis used in total hip arthroplasty for the treatment of Crowe type IV developmental dysplasia of the hip. Methods Retrospective study was conducted in 58 patients（65 hips） undergoing total hip arthroplasty for the treatment of Crowe type IV developmental dysplasia of the hip between January 2014 to August 2018, including 33 patients（37 hips） with modular S-ROM prosthesis and 25 patients（27 hips） with monoblock Wagner Cone prosthesis. The general data, operative time, intraoperative blood loss during the postoperative hospitalization, bone union time, Harris score, VAS score and perioperative complication rate were compared between the two groups. Results There was no significant difference in the perioperative complication rate during the postoperative hospitalization, Harris score and VAS score in the last follow-up between the two groups. The operative time was （135.7perat）min in the S-ROM group and （113.3n the）min in the Wagner Cone group, and there was a significant difference between the two groups （P < 0.05）. The intraoperative blood loss was （469.7±43.6）ml in the S-ROM group and （410.4 rence between the two groups （and there was a significant difference between the two groups （P < 0.05）. The bone healing time of Wagner Cone group was significantly longer than that of S-ROM group （P < 0.05）. Conclusion The application of both the modular S-ROM andmonoblock Wagner Cone femoral prosthesis with subtrochanteric shortening osteotomy in total hip arthroplasty for the treatment of Crowe type IV developmental dysplasia of the hip has a good clinical efficacy. The monoblock Wagner Cone prosthesis has the shorter operative time and less intraoperative blood loss, and the modular S-ROM prosthesis has shorter bone healing time.
- Developmental dysplasia of the hip,
- Total hip arthroplasty,
- Subtrochanteric osteotomy,
- Modular prosthesis,
- Monoblock prosthesis

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References

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