Yu WU, De-xing YANG, Hong WANG, Qiang WANG, Wei-yu ZHOU, Jie-fu TANG, Zhen-fang YANG, Kai FU, Rong LIU. The Relationship between Arterial and Venous Blood Lactic Acid in Early Stage of Septic Shock and Prognostic Value of Lactate and Lactate Clearance Rate[J]. Journal of Kunming Medical University, 2021, 42(9): 83-89. doi: 10.12259/j.issn.2095-610X.S20210927
Citation: 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

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
  • Received Date: 2020-07-06
    Available Online: 2021-01-26
  • Publish Date: 2021-01-26
  •   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.
  • [1]
    Hartofilakidis G,Georgiades G,Babis G C,et al. Evaluation of two surgical techniques for acetabular reconstruction in total hip replacement for congenital hip disease:results after a minimumten years follow-up[J]. J Bone Joint surg Br,2008,90(6):724-730.
    [2]
    Greber E M,Pelt C E,Gililland J M,et al. Challenges in total hip arthroplasty in the setting of developmental dysplasia of the hip[J]. J Arthroplast,2017,32(9):38-44. doi: 10.1016/j.arth.2017.02.024
    [3]
    Li H,Yuan Y,Xu J,et al. Direct leverage for reducing the femoral head in total hip arthroplasty without femoral shortening osteotomy for Crowe type 3 to 4 dysplasia of the hip[J]. J Arthroplasty,2018,33(3):794-799. doi: 10.1016/j.arth.2017.09.011
    [4]
    Grappiolo G,La Camera F,Della Rocca A,et al. Total hip arthroplasty with a monoblock conical stem and subtrochanteric transverse shortening osteotomy in Crowe type IV dysplastic hips[J]. Int Orthop,2019,43(1):77-83. doi: 10.1007/s00264-018-4122-5
    [5]
    Liu S,Zuo J,Li Z,et al. Study of three-dimensional morphology of the proximal femur in developmental adult dysplasia of the hip suggests that the on-shelf modular prosthesis may not be an ideal choice for patients with Crowe type IV hips[J]. Int Orthop,2017,41(4):707-713. doi: 10.1007/s00264-016-3248-6
    [6]
    Ozden V E,Dikmen G,Beksac B,et al. Tapered stems one-third proximally coated have higher complication rates than cylindrical two-third coated stems in patients with high hip dislocation undergoing total hip arthroplasty with step-cut shortening osteotomy[J]. Orthop Traumatol Surg Res,2017,103(4):569-577. doi: 10.1016/j.otsr.2017.01.010
    [7]
    Wang D,Li L L,Wang H Y,et al. Long-term results of cementles total hip arthroplasty with subtrochanteric shortening osteotomy in Crowe type IV developmental dysplasia[J]. J Arthroplasty,2017,32(4):1211-1219. doi: 10.1016/j.arth.2016.11.005
    [8]
    杨佳,杨毅,赵云宏,等. 应用3D打印技术联合组配式S-ROM假体人工髋关节置换术治疗成人Crowe Ⅳ DDH[J].昆明医科大学学报,2018,39(5):83-89. doi: 10.3969/j.issn.1003-4706.2018.05.017
    [9]
    Crowe J F,Mani V J,Ranawat C S. Total hip replacement in congenital dislocation and dysplasia of the hip[J]. J Bone Joint Surg Am,1979,61(1):15-23.
    [10]
    Sonohata M,Kitajima M,Kawano S,et al. Nerve palsy after total hip arthroplasty without subtrochanteric femoral shortening osteotomy for a completely dislocated hip joint[J]. Open Orthop,2016,10:788-792.
    [11]
    Edwards B N,Tullos H S,Nobel P C. Contributory factors and etio-logy of sciatic nerve palsy in total hip arthroplasia[J]. Clin Orthop,1987(218):136-141.
    [12]
    Gong S,Xu W,Wang R,et al. The causes and management of nonunion of femoral subtrochanteric shortening osteotomy in a THA patient:a case report[J]. BMC Musculoskelet Disord,2019,20(1):203. doi: 10.1186/s12891-019-2612-2
    [13]
    Shi X T,Cheng C M,Feng C Y,et al. Crowe type IV hip dysplasia treated by THA comebined with osteotomy to balance functional leg length discrepancy:A prospective observational study[J]. Orthop Surg,2020,12(2):533-542. doi: 10.1111/os.12655
    [14]
    卢玮,曾敏,雷鹏飞,等. Wagner Cone生物型股骨假体置换联合转子下短缩截骨术治疗成人Crowe Ⅳ型髋关节发育不良[J].中国修复重建外科杂志,2019,33(8):929-934.
    [15]
    彭永刚,张坤,苗润清,等. Wagner cone股骨柄联合转子下横形截骨的全髋关节置换术治疗Crowe Ⅳ型髋关节发育不良[J].实用骨科杂志,2018,24(12):1077-1081.
    [16]
    Mu W,Yang D,Xu B,et al. Midterm outcome of cementless total hip arthroplasty in crowe IV-hartofilakidis type III developmental dysplasia of the hip[J]. J Arthroplasty,2016,31(3):668-675. doi: 10.1016/j.arth.2015.10.011
    [17]
    Zhu J,Shen C,Chen X,et al. Total hip arthroplasty with a non-modular conical stem and transverse subtrochanteric osteotomy in treatment of high dislocated hips[J]. J Arthroplasty,2015,30(4):611-614. doi: 10.1016/j.arth.2014.11.002
    [18]
    Ollivier M,Abdel M P,Krych A J,et al. Long-term results of total hip arthroplasty with shortening subtrochanteric osteotomy in crowe IV developmental dysplasia[J]. J Arthroplasty,2016,31(8):1756-1760. doi: 10.1016/j.arth.2016.01.049
    [19]
    Muratli K S,Karatosun V,Uzun B,et al. Subtrochanteric shortening in total hip arthroplasty:biomechanical comparison of four techniques[J]. J Arthroplasty,2014,29(4):836-842. doi: 10.1016/j.arth.2013.09.004
    [20]
    Onodera S,Majima T,Ito H,et al. Cementless total hip arthroplasty using the modular S-ROM prosthesis combined with corrective proximal femoral osteotomy[J]. J Arthroplasty,2006,21(5):664-669. doi: 10.1016/j.arth.2005.08.016
    [21]
    Huang Z Y,Liu H,Li M,et al. Optimal location of subtrochanteric osteotomy in total hip arthroplasty for crowe type IV developmental dysplasia of hip[J]. BMC Musculoskelet Disord,2020,21(1):210. doi: 10.1186/s12891-020-03248-8
    [22]
    Ozan F,Uzun E,Gürbüz K,et al. Total hip arthroplasty in the developmental dysplasia of the hip using transverse subtrochanteric osteotomy[J]. J Orthop,2016,13(4):259-263. doi: 10.1016/j.jor.2016.06.010
    [23]
    赵众首,孙俊英. 组配式S-ROM假体在髋关节发育不良及髋关节翻修术中的应用进展[J].中国修复重建外科杂志,2012,26(9):1054-1057.
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