Tapered stems one-third proximally coated have higher complication rates than cylindrical two-third coated stems in patients with high hip dislocation undergoing total hip arthroplasty with step-cut shortening osteotomy.


Ozden V. E. , Dikmen G. , Beksac B., Tozun I. R.

Orthopaedics & traumatology, surgery & research : OTSR, vol.103, no.4, pp.569-577, 2017 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 103 Issue: 4
  • Publication Date: 2017
  • Doi Number: 10.1016/j.otsr.2017.01.010
  • Title of Journal : Orthopaedics & traumatology, surgery & research : OTSR
  • Page Numbers: pp.569-577
  • Keywords: Tapered stem, Cylindrical stem, Crowe type-IV dislocation, Modified Cochin type IV-V, Step-cut femoral shortening, Ceramic on ceramic, DEVELOPMENTAL DYSPLASIA, CONGENITAL DISLOCATION, CEMENTLESS ARTHROPLASTY, REPLACEMENT, CROWE, CLASSIFICATION, FEMUR

Abstract

Background: The results of cementless stems in total hip arthroplasty (THA) done because of congenital dislocation with step-cut osteotomy is not well known, particularly the influence of the design and therole of extent of porous coating. Therefore we performed a retrospective study to evaluate the mid tolongterm results THA performed with a single type acetabular component and different geometry and fixation type stems with ceramic bearings in the setting of step-cut subtrochanteric osteotomy in high hipdislocated (HHD) patients. We asked if the stem type affect the outcomes in terms of (1) intra and postoperative complication rates (2) radiographic outcomes (3) prosthesis survival in step-cut subtrochanteric shortening osteotomy.