Total Hip Arthroplasties with High Dislocation in Tuberculous Hip and Developmental Dysplasia of the Hip / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 273-281, 2003.
Artículo
en Coreano
| WPRIM
| ID: wpr-652940
ABSTRACT
PURPOSE:
To confirm the effect of the frog leg lateral radiographs for determining the clinical indication of total hip arthroplasty for high riding dislocation and to discuss its theoretical background. MATERIALS ANDMETHODS:
A consequent series of reconstructive THA were studied in 28 recent tuberculous hips. Twenty-three hips (17patients) with developmental dysplastic hip were compared. Preoperatively, frog-leg lateral radiographs were performed in all the patients, which were enhanced using a 2-dimensional computer model to predict the reattachment of the greater trochanter.RESULTS:
The modified scores of Merle d'aubigne and Postel improved from a mean of 2.6 points preoperatively to a mean of 5.1 points. Sciatic nerve palsies occurred in three cases. In two cases, they fully recovered, but in one case, it did not. We confirmed that old high dislocation of the hip could be adopted in type 1 and 2 categories of frog leg lateral position. The reconstruction of hip was relatively simple in type 3, however, further study is necessary in type 5 due to unsuitable abduction contracture.CONCLUSION:
We confirm that frog leg lateral radiography is effective for determining the operative indication of high riding dislocation. However irreducible frog leg lateral position is absolutely contraindirated for total hip arthroplasty.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Artroplastia
/
Simulación por Computador
/
Radiografía
/
Contractura
/
Artroplastia de Reemplazo de Cadera
/
Neuropatía Ciática
/
Luxaciones Articulares
/
Fémur
/
Cadera
/
Pierna
Tipo de estudio:
Estudio diagnóstico
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
The Journal of the Korean Orthopaedic Association
Año:
2003
Tipo del documento:
Artículo
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