고위 고관절 탈구에서 대퇴골 단축을 시행하지 않은 고관절 전치환술 = Total Hip Arthroplasty without a Femoral Shortening Procedure for Treating a Highly Dislocated Hip

다국어 초록 (Multilingual Abstract)

Purpose: This study evaluated the results of total hip arthroplasty (THA) without a femoral shortening procedure for the treatment of a highly dislocated hip. Materials and Methods: A total of 11 hips of 11 patients who underwent THA between April 1996 and February 2001 were clinically and radiologically evaluated. Among these 11 hips, 5 hips were sequelae of developmental dysplasia of the hip and 6 hips were sequelae of pyogenic or tuberculous infection. The mean follow-up period was 98 months (range: 88~121 months). Results: In all cases, the hip center was restored to the anatomic hip center. The mean Harris hip score increased from 56.2 preoperatively to 86.3 at the end of follow-up and the mean difference of the spino-malleolar distance decreased from 5.6 cm preoperatively to 1.4cm postoperatively. Non-union in the greater trochanter osteotomy site was encountered in two patients. Two cases of sciatic nerve palsy and one cases of heterotopic ossification occurred, but one case of sciatic nerve palsy recovered within 6 months. Conclusion: After enough soft tissue release, if reduction to the original hip center is difficult, then performing femoral osteotomy or shortening osteotomy should be considered during the THA for a highly dislocated hip.

참고문헌 (Reference)

1 박명식, "인공고관절 재치환술에 있어서 대전자부 장 활강 절골술" 대한고관절학회 16 (16): 353-358, 2004

2 Gruen TA, "“Mode of failure” of cemented stem-type femoral components : a radiographic analysis of loosening" 141 : 17-27, 1979

3 Barrak RL, "Uncemented total hip arthroplasty with superior acetabular deficiency" 5 : 159-167, 1990

4 Harris WH, "Traumatic arthritis of the hip after dislocation and acetabular fracture: treatment by mold arthroplasty. An end results study using a new method of result evaluation" 51-B : 737-755, 1969

5 Yoo MC, "Total hip replacement in unreduced hip dislocation" 34 : 17-22, 1999

6 Crowe JF, "Total hip replacement in congenital dislocation and dysplasia of the hip" 61-A : 15-23, 1979

7 Paavilainen T, "Total hip replacement for developmental dysplasia of the hip" 68 : 77-84, 1997

8 Dunn HK, "Total hip reconstruction in chronically dislocated hips" 58-A : 838-845, 1976

9 Anwar MM, "Total hip arthroplasty in the neglected congenital dislocation of the hip" 295 : 127-134, 1993

10 Symeonides PP, "Total hip arthroplasty in neglected congenital dislocation and dysplasia of the hip" 341 : 55-61, 1997

11 Fredin H, "Total hip arthroplasty in high congenital dislocation" 73-B : 430-433, 1991

12 Erdemli B, "Total hip arthroplasty in developmental high dislocation of the hip" 20 : 1021-1028, 2005

13 Kerboull M, "Total hip arthroplasty for Crowe type IV developmental hip dysplasia" 16 (16): 170-176, 2001

14 Kim YH, "Total arthroplasty of the hip after childhood sepsis" 73-B : 783-786, 1991

15 Sugano N, "The morphology of the femur in developmental dysplasia of the hip" 80-B : 711-719, 1998

16 Yasgur DJ, "Subtrochanteric femoral shortening osteotomy in total hip arthroplasty for high-riding developmental dislocation of the hip" 12 : 880-888, 1997

17 Linde F, "Socket loosening in arthroplasty for congenital dislocation of the hip" 59 (59): 254-257, 1988

18 Makita H, "Results on total hip arthroplasties with femoral shortening for Crowe’s group IV dislocated hips" 22 : 32-38, 2007

19 Callaghan JJ, "Results of revision for mechanical failure after cemented total hip replacement, 1979 to 1982. A two to five-year follow-up" 67-A : 1074-1085, 1985

20 DeLee JG, "Radiologic demarcation of cemented sockets in total hip replacement" 121 : 20-32, 1976

21 Nercessian OA, "Peripheral neuropathies following total hip arthroplasty" 9 : 645-651, 1994

22 Lewallen DG, "Neurovascular injury associated with hip arthroplasty" 47 : 275-283, 1998

23 Cameron HU, "Nerve injury in the prosthetic management of the dysplastic hip" 21 : 980-981, 1998

24 Charnley J, "Low-friction arthroplasty in congenital subluxation of the hip" 91 : 98-113, 1973

25 Cameron HU, "Influence of the Crowe rating on the outcome of total hip arthroplasty in congenital hip dysplasia" 11 : 582-587, 1996

26 Reikeraas O, "Femoral shortening in total arthroplasty for completely dislocated hips" 67 : 33-36, 1996

27 Sener N, "Femoral shortening and cementless arthroplasty in high congenital dislocation of the hip" 17 : 41-48, 2002

28 Brooker AF, "Ectopic ossification following total hip replacement. J Bone Joint Surg" 55-A : 1629-1632, 1973

29 Kim YM, "Clinical results of total hip replacement arthroplasty for infection hip sequelae with dislocation and severe shortening" 35 : 449-454, 2000

30 Solonen KA, "Cementless total replacement for severely dysplastic hips" 72-B : 205-211, 1990

31 Moon KH, "Cementless total hip arthroplasty with subtrochanteric shortening osteotomy in Crowe IV developmental dysplasia of the hip" 10 : 261-266, 1998

32 Paavilainen T, "Cementless total hip arthroplasty for congenitally dislocated or dysplastic hips" 297 : 71-81, 1993

33 Tanoue M, "Acute stretching of peripheral nerves inhibits retrograde axonal transport" 21-B : 358-363, 1996