Arthrodesis hip using broad DCP

ABSTRACT

In this study, 34 patients were assessed. The mean age was 22 with a range from 16-36 years. All of them were not candidates for total hip replacement. In all patients, the other entire hip was normal. All of them were complaining of stiff arthritic hip for different causes. All of them were operated upon using the direct lateral approach exposing the hip joint and the iliac bone. Internal fixation was achieved using contoured broad DCP instead of the traditional cobra plate, to put the limp in the ideal position of arthrodesis. The greater trochanter was osteotomized with the preservation of abductor muscle attachment for easier THR. The plate was fixed to iliac bone with cancellous screws 6.5 mm and to the femur using cortical screws 4.5 mm. The mean operative time was 90 minutes. Each patient needed one unit of blood transfusion intraoperatively. A good bony union was reported in all patients. One patient of minimal infection was reported due to a general poor condition. A good postoperative lower limp function was reported in all patients. The pain completely disappeared after good bony union, except in one patient with minimal infection