Ata Can1, Ilker A Sarikaya2, Necip S Yontar1, Ayse O Erdogan1, Baris Gorgun3, Fahri Erdogan4. 1. Nisantasi Ortopedi Merkezi, Istanbul, Turkey. 2. Ortopediatri Clinic, Istanbul, Turkey. 3. Patnos State Hospital, Agri, Turkey. 4. Department of Orthopaedics and Traumatology, Istanbul University, Cerrahpasa School of Medicine, Istanbul, Turkey.
Abstract
BACKGROUND: We argue that 1-stage bilaterally total hip arthroplasty (THA) could be acceptable in bilateral coxarthrosis because of high-riding developmental dysplasia of the hip (DDH). METHODS: Sixty-nine cases (51 patients) of high-riding DDH in patients who underwent THA from 2010 to 2013 were reviewed. Patients were divided into 2 groups: unilateral (group 1) and 1-stage bilateral surgery (group 2). The clinical measurements were the visual analog scale and Harris Hip Score. RESULTS: The average follow-up was 37.3 months for group 1 and 38.8 months for group 2. The hospital stay time was 5.2 days in group 1 and 6.2 days in group 2 (P = .334). The mean Harris Hip Score and visual analog scale score were improved significantly after surgery for both groups, and there was no statistically significant difference (P = .988). There was no difference between groups 1 and 2 in terms of complications (P = .137). CONCLUSION: Our data confirm that 1-stage bilateral transverse osteotomy with THA is an effective method as unilateral and it does not increase the length of patients' hospital stays and features a low risk of postoperative complications in the treatment of patients with high-riding DDH.
BACKGROUND: We argue that 1-stage bilaterally total hip arthroplasty (THA) could be acceptable in bilateral coxarthrosis because of high-riding developmental dysplasia of the hip (DDH). METHODS: Sixty-nine cases (51 patients) of high-riding DDH in patients who underwent THA from 2010 to 2013 were reviewed. Patients were divided into 2 groups: unilateral (group 1) and 1-stage bilateral surgery (group 2). The clinical measurements were the visual analog scale and Harris Hip Score. RESULTS: The average follow-up was 37.3 months for group 1 and 38.8 months for group 2. The hospital stay time was 5.2 days in group 1 and 6.2 days in group 2 (P = .334). The mean Harris Hip Score and visual analog scale score were improved significantly after surgery for both groups, and there was no statistically significant difference (P = .988). There was no difference between groups 1 and 2 in terms of complications (P = .137). CONCLUSION: Our data confirm that 1-stage bilateral transverse osteotomy with THA is an effective method as unilateral and it does not increase the length of patients' hospital stays and features a low risk of postoperative complications in the treatment of patients with high-riding DDH.
Authors: Mahmut Enes Kayaalp; Ata Can; Fahri Erdogan; Mahmut Kursat Ozsahin; Onder Aydingoz; Gokhan Kaynak Journal: Arch Orthop Trauma Surg Date: 2020-11-08 Impact factor: 3.067
Authors: Seyed Mohammad Javad Mortazavi; Ehsan Ghadimi; Mohammad Vahedian Ardakani; Mohammadreza Razzaghof; Mohammad Ali Ghasemi; Ali Nili; Ali Vafaei; Alireza Moharrami; Sheila Rasta Journal: Int Orthop Date: 2022-01-05 Impact factor: 3.075