Developmental hip dysplasia treated by total hip arthroplasty using a cementless Wagner cone stem in young adult patients with a small physique

BMC Musculoskeletal Disorders
Ping ZhenShenghu Zhou

Abstract

Developmental hip dysplasia (DDH) may lead to severe acetabular and femoral abnormalities that can render total hip arthroplasty (THA) challenging, especially in DDH patients with a small physique. Most conventional cemented or cementless femoral components are often difficult to implant in the narrow femoral canal and require slight version correction during surgery. The aim of this study was to present the mid-term results of THA in the treatment of DDH patients with a small physique using a cementless Wagner cone prosthesis (Zimmer®, US). Between January 2006 and March 2010, we retrospectively reviewed 50 patients who were treated at our center. A total of 50 patients (52 hips; 45 women, five men; mean age 32.5 years; range 27 to 38 years) who underwent THA were observed. The mean femoral medullary canal dimension at the isthmus was 7.6 mm (range 6.0 to 8.7). According to the Crowe classification, 19 hips presented dysplasia of grade I, while 33 presented dysplasia of grade II. All patients were treated with THA using a cementless Wagner cone prosthesis. Clinical and radiologic evaluations were performed on all patients. The mean duration of follow-up was 7.7 years (range 5.4 to 10.5). The Harris hip score (HHS) improved fro...Continue Reading

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Citations

Feb 7, 2019·Der Orthopäde·A RothD Zajonz
Feb 14, 2019·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Loris PerticariniFrancesco M Benazzo
Aug 30, 2019·Journal of Orthopaedic Surgery and Research·Xiaowen DengXiaole He
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Apr 17, 2021·Surgical Technology International·Akhil Katakam MelnicHany S Bedair
Jun 8, 2021·Curēus·George C PapachristouVasileios S Nikolaou
Jul 13, 2021·Frontiers in Bioengineering and Biotechnology·Min ZhangCheng-Kung Cheng
Jul 19, 2021·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Alberto Di MartinoCesare Faldini

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