Abstract
Purpose
We analyzed a consecutive series of 36 total hip arthroplasties using cementless conical stem with a shortening osteotomy combined with greater trochanter transfer in cases with a high dislocated hip.
Material and Methods
The causes of total hip arthroplasty were the sequelae of a septic hip in 20 cases and developmental dysplasia of the hip (DDH) in 16 cases. Mean patient age was 43.4 and the mean follow-up period was 3.3 years. We compared perioperative parameters, clinical, radiological results and complications between the two groups.
Results
Mean Harris hip score improved from 42.4 to 84.2 in septic hip group and from 46.3 to 85.0 in DDH group. The mean leg lengthening and time to greater trochanter union was 36.5 mm, 3.7 months in septic hip group and 38.6 mm, 3.5 months in DDH group.
Conclusions
Total hip arthroplasty using subtrochanteric osteotomy produced satisfactory clinical and radiological results and there is no significant difference between the two groups.
