Short-term results of hip prosthesis with shortening osteotomy in patients with crowe type iv dysplastic coxarthrosis

Developmental hip dysplasia describes developmental abnormalities affecting the acetabulum, proximal femur, and capsule. Various surgical options, including pelvic and femoral osteotomies, are available yet degeneration and osteoarthritis may persist despite these interventions. Total hip arthroplas...

Full description

Saved in:
Bibliographic Details
Main Authors: Omer Polat, Selim Sanel, Mehmet Nurullah Ermis, Can Solakoglu
Format: Article
Language:English
Published: Society of Turaz Bilim 2024-04-01
Series:Medicine Science
Subjects:
Online Access:https://www.medicinescience.org/?mno=214445
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1825206529275461632
author Omer Polat
Selim Sanel
Mehmet Nurullah Ermis
Can Solakoglu
author_facet Omer Polat
Selim Sanel
Mehmet Nurullah Ermis
Can Solakoglu
author_sort Omer Polat
collection DOAJ
description Developmental hip dysplasia describes developmental abnormalities affecting the acetabulum, proximal femur, and capsule. Various surgical options, including pelvic and femoral osteotomies, are available yet degeneration and osteoarthritis may persist despite these interventions. Total hip arthroplasty with shortening osteotomy has yielded highly satisfactory results patients experiencing pain and reduced quality of life due to osteoarthritis. Crowe type 4 patients who were operated on by the same surgeon between 2010 and 2014 were included in the study. The study evaluated 14 hips from 9 female patients, aged between 42 and 52 years (mean age: 46.57±3.15 years). Each operated hip was followed up for at least 12 months. Preoperative, six-month, and one-year postoperative assessments included Harris Hip Scores, Oswestry Scale, VAS Hip and Lumbar, and SF-36 Quality of Life Indexes. Preoperative Harris hip scores (41.86±8.63) increased to 85.46±2.51 at six-months and 89.97±1.52 at one year. The mean preoperative VAS hip measurement was 8.50±0.76, while the mean postoperative six-month VAS hip measurement was 2.64±0.50 and the mean postoperative one-year VAS hip measurement was 2.14±0.36. The increase in the SF-36 quality of life index is statistically significant. The mean preoperative Oswestry measurement was 32.86±2.93, which decreased to 6.78±1.62 postoperatively and further decreased to 2.21±0.97 at one-year. The outcomes of shortening osteotomy combined with cementless total hip arthroplasty (THA) for treating pain and loss of function in patients with developmental dysplasia of the hip who do not respond to conservative treatments are highly favorable. [Med-Science 2024; 13(4.000): 873-8]
format Article
id doaj-art-fa8692c518504877bbc4e0e15fb9a6ab
institution Kabale University
issn 2147-0634
language English
publishDate 2024-04-01
publisher Society of Turaz Bilim
record_format Article
series Medicine Science
spelling doaj-art-fa8692c518504877bbc4e0e15fb9a6ab2025-02-07T08:49:23ZengSociety of Turaz BilimMedicine Science2147-06342024-04-01134873810.5455/medscience.2024.08.096214445Short-term results of hip prosthesis with shortening osteotomy in patients with crowe type iv dysplastic coxarthrosisOmer Polat0Selim Sanel1Mehmet Nurullah Ermis2Can Solakoglu3Elmalikent mh34764 Umraniye/Istanbul TURKEY Cumhuriyet, Anadolu Sağlık Merkezi Johns Hopkins Hastanesi, 2255. Sk. No:3, 41400 Gebze/Kocaeli Central Hospital Depatrment of Orthopeadics and Traumatology Addres: Kucukbakkalkoy, Kayışdağı Cd. 57/A Ataşehir/İstanbul Medical Faculty of Maltepe University Department of Orthopedics and Traumatology Adress: Bağlarbaşı, Feyzullah Cd. No:39, 34844 Maltepe/İstanbulDevelopmental hip dysplasia describes developmental abnormalities affecting the acetabulum, proximal femur, and capsule. Various surgical options, including pelvic and femoral osteotomies, are available yet degeneration and osteoarthritis may persist despite these interventions. Total hip arthroplasty with shortening osteotomy has yielded highly satisfactory results patients experiencing pain and reduced quality of life due to osteoarthritis. Crowe type 4 patients who were operated on by the same surgeon between 2010 and 2014 were included in the study. The study evaluated 14 hips from 9 female patients, aged between 42 and 52 years (mean age: 46.57±3.15 years). Each operated hip was followed up for at least 12 months. Preoperative, six-month, and one-year postoperative assessments included Harris Hip Scores, Oswestry Scale, VAS Hip and Lumbar, and SF-36 Quality of Life Indexes. Preoperative Harris hip scores (41.86±8.63) increased to 85.46±2.51 at six-months and 89.97±1.52 at one year. The mean preoperative VAS hip measurement was 8.50±0.76, while the mean postoperative six-month VAS hip measurement was 2.64±0.50 and the mean postoperative one-year VAS hip measurement was 2.14±0.36. The increase in the SF-36 quality of life index is statistically significant. The mean preoperative Oswestry measurement was 32.86±2.93, which decreased to 6.78±1.62 postoperatively and further decreased to 2.21±0.97 at one-year. The outcomes of shortening osteotomy combined with cementless total hip arthroplasty (THA) for treating pain and loss of function in patients with developmental dysplasia of the hip who do not respond to conservative treatments are highly favorable. [Med-Science 2024; 13(4.000): 873-8]https://www.medicinescience.org/?mno=214445cardiovascular diseaserisk factorwaist hip ratiomachine learning
spellingShingle Omer Polat
Selim Sanel
Mehmet Nurullah Ermis
Can Solakoglu
Short-term results of hip prosthesis with shortening osteotomy in patients with crowe type iv dysplastic coxarthrosis
Medicine Science
cardiovascular disease
risk factor
waist hip ratio
machine learning
title Short-term results of hip prosthesis with shortening osteotomy in patients with crowe type iv dysplastic coxarthrosis
title_full Short-term results of hip prosthesis with shortening osteotomy in patients with crowe type iv dysplastic coxarthrosis
title_fullStr Short-term results of hip prosthesis with shortening osteotomy in patients with crowe type iv dysplastic coxarthrosis
title_full_unstemmed Short-term results of hip prosthesis with shortening osteotomy in patients with crowe type iv dysplastic coxarthrosis
title_short Short-term results of hip prosthesis with shortening osteotomy in patients with crowe type iv dysplastic coxarthrosis
title_sort short term results of hip prosthesis with shortening osteotomy in patients with crowe type iv dysplastic coxarthrosis
topic cardiovascular disease
risk factor
waist hip ratio
machine learning
url https://www.medicinescience.org/?mno=214445
work_keys_str_mv AT omerpolat shorttermresultsofhipprosthesiswithshorteningosteotomyinpatientswithcrowetypeivdysplasticcoxarthrosis
AT selimsanel shorttermresultsofhipprosthesiswithshorteningosteotomyinpatientswithcrowetypeivdysplasticcoxarthrosis
AT mehmetnurullahermis shorttermresultsofhipprosthesiswithshorteningosteotomyinpatientswithcrowetypeivdysplasticcoxarthrosis
AT cansolakoglu shorttermresultsofhipprosthesiswithshorteningosteotomyinpatientswithcrowetypeivdysplasticcoxarthrosis