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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
COMPLEX SURGERY: SPECIFIC TECHNIQUES CURRENT TRENDS IN MODERN HIP SURGERY TRENDS AND REAL INNOVATIONS IN THE 1° IMPLANT
Minerva Ortopedica e Traumatologica 2006 August;57(4):261-8
Total hip prosthesis in hip displasia
Rossi P., Castoldi F., Rossi R., Fantino G., Blonna D., Bruzzone M., Dettoni F.
Divisione Universitaria di Ortopedia e Traumatologia Università degli Studi di Torino Ospedale Mauriziano “Umberto I”, Torino
In arthritis secondary to DDH (Developmental Dysplasia of the Hip), when no room is left for salvage surgery, many surgical options are available. The choice of surgical treatment and implant model depends on many factors, i.e. patient’s age, range of motion, altered biomechanics due to muscular insufficiency. Patients affected by slight articular deformity can be treated with standard surgery, using standard implant models. When morphological changes are more severe, on both acetabular and femoral side, techniques and implants are more peculiar. In inveterate hip dislocation, surgical approaches, when required, are different from the earlier stages. Many classification have been set, to identify and classify complexity of morphological changes. Aim of this study is to use these classifications to identify the appropriate prosthetic model. We want, therefore, to evaluate the choice of surgical technique in Crowe’s grade I, II and III hip dislocation.