PMID: 8615099Feb 1, 1996Paper

Femoral shortening in total arthroplasty for completely dislocated hips: 3-7 year results in 25 cases

Acta Orthopaedica Scandinavica
O ReikeraasI Bjerkreim

Abstract

During the years 1988-1991, we performed 25 total hip replacements for completely dislocated hips in 15 women and 4 men with a median age of 54 (17-67) years. In all cases, femoral shortening at the subtrochanteric level was performed to obtain reduction of the hip. The patients have been followed for 3-7 years. 1 patient experienced sciatic nerve palsy, 1 a delayed union and 1 a malunion at the osteotomy site. There were no signs of mechanical failure. All patients were satisfied. According to the Charnley hip score, function was excellent in 15 cases, good in 9 and fair in 1. The median Harris hip score improved from 43 at the time of operation to 93 at follow-up. 7 hips had a positive and 18 a negative Trendelenburg test. Before operation, all patients had a Trendelenburg limp. Our intermediate results indicate that femoral shortening at the subtrochanteric level is a suitable adjunct to total arthroplasty for a completely dislocated hip.

References

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Citations

Mar 27, 2012·Operative Orthopädie und Traumatologie·S W Tohtz, C Perka
Dec 20, 2005·International Orthopaedics·G PapachristouE Chronopoulos
Jun 15, 2011·International Orthopaedics·Daniel NeumannUlrich Dorn
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Jan 2, 2007·The Journal of Arthroplasty·Hiroyuki MakitaTomoyuki Saito
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