共 31 条
Specific approach to total hip arthroplasty in patients with childhood hip disorders sequelae
被引:1
作者:

Barbaric Starcevic, Katarina
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h-index: 0
机构:
Special Hosp Orthoped & Traumatol Akromion, Dept Orthoped Surg, Zagreb 10020, Grad, Croatia Special Hosp Orthoped & Traumatol Akromion, Dept Orthoped Surg, Zagreb 10020, Grad, Croatia

Bicanic, Goran
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机构:
Emirates Hosp Jumeirah Dubai, Dept Orthoped Surg, Jumeirah Beach Rd Near Dubai Canal Jumeirah 2, Dubai, Dubayy, U Arab Emirates Special Hosp Orthoped & Traumatol Akromion, Dept Orthoped Surg, Zagreb 10020, Grad, Croatia

Bicanic, Luka
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机构:
Dubai Coll, Dept Sci, Dubai, Dubayy, U Arab Emirates Special Hosp Orthoped & Traumatol Akromion, Dept Orthoped Surg, Zagreb 10020, Grad, Croatia
机构:
[1] Special Hosp Orthoped & Traumatol Akromion, Dept Orthoped Surg, Zagreb 10020, Grad, Croatia
[2] Emirates Hosp Jumeirah Dubai, Dept Orthoped Surg, Jumeirah Beach Rd Near Dubai Canal Jumeirah 2, Dubai, Dubayy, U Arab Emirates
[3] Dubai Coll, Dept Sci, Dubai, Dubayy, U Arab Emirates
关键词:
Total hip arthroplasty;
Pediatric hip sequelae;
Center of rotation;
Cotyloplasty;
Hip abductor muscles;
ACETABULAR ROOF RECONSTRUCTION;
DEVELOPMENTAL DYSPLASIA;
CONGENITAL DISLOCATION;
ADULTS;
D O I:
10.5312/wjo.v15.i12.1118
中图分类号:
R826.8 [整形外科学];
R782.2 [口腔颌面部整形外科学];
R726.2 [小儿整形外科学];
R62 [整形外科学(修复外科学)];
学科分类号:
摘要:
Hip arthroplasty in patients with a history of paediatric hip disorders presents a significant challenge for orthopaedic surgeons. These patients are typically younger and have greater functional demands. Therefore, achieving optimal biomechanical conditions is crucial, involving placement of the acetabulum at the ideal centre of rotation and securing a stable femoral component with good offset to preserve abductor muscle function and restore leg length. The altered anatomy in these cases makes total hip arthroplasty more complex, necessitating thorough preoperative imaging and an individualised surgical approach. Various techniques may be employed to optimise biomechanical outcomes. We propose a modified lateral hip approach, offering exceptional visualisation of the acetabulum and femur while preserving the continuity of the abductor muscles without requiring trochanteric osteotomy. To achieve the most biomechanically advantageous acetabular position, cotyloplasty is our preferred method.
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共 31 条
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