RESEARCH PROGRESS OF OSTEOTOMY IN TOTAL HIP ARTHROPLASTY TO TREAT CROWE TYPE IV DEVELOPMENTAL DYSPLASIA OF THE HIP_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

CHENTao ^1,2 ,  YANGChunxi ¹

1. Department of Orthopedics, Shanghai Tenth People's Hospital, Tenth People's Hospital of Tongji University, Shanghai, 200072, P. R. China;
2. School of Medicine, Tongji University;

Corresponding author：

YANGChunxi, Email: chunxiyang@163.com

Keywords：

Total hip arthroplasty; Developmental dysplasia of the hip; Osteotomy; Crowe type ⅠV

DOI：

10.7507/1002-1892.20150096

Video：

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Objective To summarize the methods and complications of osteotomy in total hip arthroplasty (THA) to treat Crowe type ⅠV developmental dysplasia of the hip (DDH) so as to provide the reference for selection of surgical procedures. Methods The literature concerning THA for DDH was reviewed, and the effectiveness and complications were summarized in different methods. Results At present, four osteotomies are commonly used in DDH, including transtrochanteric osteotomy, subtrochanteric osteotomy, lesser trochanteric osteotomy, and distal femoral osteotomy. Transtrochanteric osteotomy and subtrochanteric osteotomy can effectively adjust leg length, correct femoral anteversion and avoid nerve injury, but transtrochanteric osteotomy may cause bone fracture and abductor injury. Lesser trochanteric osteotomy is scarcely used because of its poor effectiveness. Distal femoral osteotomy is usually used in patients with knee deformity. Conclusion For patients with Crowe type ⅠV DDH complicated by severe femoral dislocation and soft tissue spasm, subtrochanteric osteotomy should be selected, whereas it needs an associated standard focusing on how to select the osteotomy shape and length in subtrochanteric ostetomy, which needs an advanced research.

Citation： CHENTao, YANGChunxi. RESEARCH PROGRESS OF OSTEOTOMY IN TOTAL HIP ARTHROPLASTY TO TREAT CROWE TYPE IV DEVELOPMENTAL DYSPLASIA OF THE HIP. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(4): 444-447. doi: 10.7507/1002-1892.20150096 Copy

1.	Crowe JF, Mani VJ, Ranawat CS. Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg (Am), 1979, 61(1):15-23.
2.	Kerboull M, Hamadouche M, Kerboull L. Total hip arthroplasty for Crowe type ⅠV developmental hip dysplasia:a long-term follow-up study. J Arthroplasty, 2001, 16(8 Suppl 1):170-176.
3.	吴岳嵩, 汪滋民, 王志伟, 等. Crowe Ⅳ型髋关节发育不良的全髋关节置换术.中华骨科杂志, 2010, 30(2):129-136.
4.	Yoon PW, Kim JI, Kim DO, et al. Cementless total hip arthroplasty for patients with Crowe type Ⅲ or IV developmental dysplasia of the hip:two-stage total hip arthroplasty following skeletal traction after soft tissue release for irreducible hips. Clin Orthop Surg, 2013, 5(3):167-173.
5.	Bernasek TL, Haidukewych GJ, Gustke KA, et al. Total hip arthroplasty requiring subtrochanteric osteotomy for developmental hip dysplasia:5- to 14-year results. J Arthroplasty, 2007, 22(6 Suppl 2):145-150.
6.	Kawai T, Tanaka C, Ikenaga M, et al. Cemented total hip arthroplasty with transverse subtrochanteric shortening osteotomy for Crowe group IV dislocated hip. J Arthroplasty, 2011, 26(2):229-235.
7.	Reikeraas O, Lereim P, Gabor I, et al. Femoral shortening in total arthroplasty for completely dislocated hips:3-7 year results in 25 cases. Acta Orthop Scand, 1996, 67(1):33-36.
8.	Kiliçoğlu OI, Türker M, Akgül T, et al. Cementless total hip arthroplasty with modified oblique femoral shortening osteotomy in Crowe type ⅠV congenital hip dislocation. J Arthroplasty, 2013, 28(1):117-125.
9.	何荣新, 王祥华, 严世贵, 等. 转子下截骨短缩全髋关节置换治疗髋关节发育不良. 中华骨科杂志, 2007, 27(3):183-187.
10.	Kilicarslan K, Yalcin N, Cicek H, et al. What happens at the adjacent knee joint after total hip arthroplasty of Crowe type Ⅲ and IV dysplastic hips? J Arthroplasty, 2012, 27(2):266-270.
11.	Nagoya S, Kaya M, Sasaki M, et al. Cementless total hip replacement with subtrochanteric femoral shortening for severe developmental dysplasia of the hip. J Bone Joint Surg (Br), 2009, 91(9):1142-1147.
12.	Hasegawa Y, Iwase T, Kanoh T, et al Total hip arthroplasty for Crowe type ⅠV developmental dysplasia. J Arthroplasty, 2012, 27(9):1629-1635.
13.	Neumann D, Thaler C, Dorn U. Femoral shortening and cementless arthroplasty in Crowe type 4 congenital dislocation of the hip. Int Orthop, 2012, 36(3):499-503.
14.	Kawai T, Tanaka C, Kanoe H. Total hip arthroplasty for Crowe IV hip without subtrochanteric shortening osteotomy——a long term follow up study. BMC Musculoskelet Disord, 2014, 15:72.
15.	Lei P, Hu Y, Cai P, et al. Greater trochanter osteotomy with cementless THA for Crowe type ⅠV DDH. Orthopedics, 2013, 36(5):e601-605.
16.	Charity JA, Tsiridis E, Sheeraz A, et al. Treatment of Crowe IV high hip dysplasia with total hip replacement using the Exeter stem and shortening derotational subtrochanteric osteotomy. J Bone Joint Surg (Br), 2011, 93(1):34-38.
17.	Yan F, Chen G, Yang L, et al. A reduction technique of arthroplasty without subtrochanteric femoral shortening osteotomy for the treatment of developmental high dislocation of hip:a case series of 28 hips. J Arthroplasty, 2014, 29(12):2289-2293.
18.	Bao N, Meng J, Zhou L, et al. Lesser trochanteric osteotomy in total hip arthroplasty for treating CROWE type ⅠV developmental dysplasia of hip. Int Orthop, 2013, 37(3):385-390.
19.	李梁涛, 谷贵山. Crowe Ⅳ型成人髋关节发育不良人工髋关节置换股骨端截骨的研究进展. 实用骨科杂志, 2012, 18(10):912-915.

1. Crowe JF, Mani VJ, Ranawat CS. Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg (Am), 1979, 61(1):15-23.
2. Kerboull M, Hamadouche M, Kerboull L. Total hip arthroplasty for Crowe type ⅠV developmental hip dysplasia:a long-term follow-up study. J Arthroplasty, 2001, 16(8 Suppl 1):170-176.
3. 吴岳嵩, 汪滋民, 王志伟, 等. Crowe Ⅳ型髋关节发育不良的全髋关节置换术.中华骨科杂志, 2010, 30(2):129-136.
4. Yoon PW, Kim JI, Kim DO, et al. Cementless total hip arthroplasty for patients with Crowe type Ⅲ or IV developmental dysplasia of the hip:two-stage total hip arthroplasty following skeletal traction after soft tissue release for irreducible hips. Clin Orthop Surg, 2013, 5(3):167-173.
5. Bernasek TL, Haidukewych GJ, Gustke KA, et al. Total hip arthroplasty requiring subtrochanteric osteotomy for developmental hip dysplasia:5- to 14-year results. J Arthroplasty, 2007, 22(6 Suppl 2):145-150.
6. Kawai T, Tanaka C, Ikenaga M, et al. Cemented total hip arthroplasty with transverse subtrochanteric shortening osteotomy for Crowe group IV dislocated hip. J Arthroplasty, 2011, 26(2):229-235.
7. Reikeraas O, Lereim P, Gabor I, et al. Femoral shortening in total arthroplasty for completely dislocated hips:3-7 year results in 25 cases. Acta Orthop Scand, 1996, 67(1):33-36.
8. Kiliçoğlu OI, Türker M, Akgül T, et al. Cementless total hip arthroplasty with modified oblique femoral shortening osteotomy in Crowe type ⅠV congenital hip dislocation. J Arthroplasty, 2013, 28(1):117-125.
9. 何荣新, 王祥华, 严世贵, 等. 转子下截骨短缩全髋关节置换治疗髋关节发育不良. 中华骨科杂志, 2007, 27(3):183-187.
10. Kilicarslan K, Yalcin N, Cicek H, et al. What happens at the adjacent knee joint after total hip arthroplasty of Crowe type Ⅲ and IV dysplastic hips? J Arthroplasty, 2012, 27(2):266-270.
11. Nagoya S, Kaya M, Sasaki M, et al. Cementless total hip replacement with subtrochanteric femoral shortening for severe developmental dysplasia of the hip. J Bone Joint Surg (Br), 2009, 91(9):1142-1147.
12. Hasegawa Y, Iwase T, Kanoh T, et al Total hip arthroplasty for Crowe type ⅠV developmental dysplasia. J Arthroplasty, 2012, 27(9):1629-1635.
13. Neumann D, Thaler C, Dorn U. Femoral shortening and cementless arthroplasty in Crowe type 4 congenital dislocation of the hip. Int Orthop, 2012, 36(3):499-503.
14. Kawai T, Tanaka C, Kanoe H. Total hip arthroplasty for Crowe IV hip without subtrochanteric shortening osteotomy——a long term follow up study. BMC Musculoskelet Disord, 2014, 15:72.
15. Lei P, Hu Y, Cai P, et al. Greater trochanter osteotomy with cementless THA for Crowe type ⅠV DDH. Orthopedics, 2013, 36(5):e601-605.
16. Charity JA, Tsiridis E, Sheeraz A, et al. Treatment of Crowe IV high hip dysplasia with total hip replacement using the Exeter stem and shortening derotational subtrochanteric osteotomy. J Bone Joint Surg (Br), 2011, 93(1):34-38.
17. Yan F, Chen G, Yang L, et al. A reduction technique of arthroplasty without subtrochanteric femoral shortening osteotomy for the treatment of developmental high dislocation of hip:a case series of 28 hips. J Arthroplasty, 2014, 29(12):2289-2293.
18. Bao N, Meng J, Zhou L, et al. Lesser trochanteric osteotomy in total hip arthroplasty for treating CROWE type ⅠV developmental dysplasia of hip. Int Orthop, 2013, 37(3):385-390.
19. 李梁涛, 谷贵山. Crowe Ⅳ型成人髋关节发育不良人工髋关节置换股骨端截骨的研究进展. 实用骨科杂志, 2012, 18(10):912-915.

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RESEARCH PROGRESS OF OSTEOTOMY IN TOTAL HIP ARTHROPLASTY TO TREAT CROWE TYPE IV DEVELOPMENTAL DYSPLASIA OF THE HIP

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