The Effect of Dislocation Type (Crowe Types I-IV) on Pelvic Development in Developmental Dysplasia of the Hip A Radiologic Study of Anatomy

被引:10
作者
Bilgen, Omer Faruk [1 ,2 ]
Salar, Necmettin [1 ]
Bilgen, Muhammet Sadik [1 ]
Mutlu, Muren [2 ]
Kara, Gokhan Kursat [2 ]
Gursel, Enis [1 ]
机构
[1] Uludag Univ, Dept Orthoped Surg, Nilufer, Bursa, Turkey
[2] Private Medicabil Hosp, Dept Orthoped Surg, TR-16120 Nilufer, Bursa, Turkey
关键词
developmental dysplasia of the hip; total hip arthroplasty; hip center; pelvic landmarks; leg-length discrepancy; LIMB-LENGTH DISCREPANCY; ARTHROPLASTY; DISEASE; ADULTS; CUP;
D O I
10.1016/j.arth.2014.11.032
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
Classification of hip pathology in developmental dysplasia of the hip (DDH) helps in appropriate placement of implants during total hip arthroplasty. We examined preoperative unilateral and bilateral pelvic radiographs of 57 patients (114 hips) undergoing total hip arthroplasty because of DDH. Both sides of the pelvis were visually separated into 3 areas for comparison. When area ratios of hips with Crowe types II, III, and IV DDH were compared with ratios for healthy hips, values in hips with DDH were significantly low for the iliac wings, significantly high for the acetabular regions, and significantly low for the ischial area. Using a line crossing the healthy hip's teardrop and parallel to a line joining the distal sacroiliac joints is useful for calculating limb-length discrepancy. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:875 / 878
页数:4
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