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High-Riding Congenital Hip Dislocation: THA With Unilateral vs Bilateral Transverse Femoral Shortening Osteotomy

Ata Can1, Ilker A Sarikaya2, Necip S Yontar1

  • 1Nisantasi Ortopedi Merkezi, Istanbul, Turkey.

The Journal of Arthroplasty
|January 1, 2018
PubMed

Insights

One-stage bilateral total hip arthroplasty (THA) is effective for high-riding developmental dysplasia of the hip (DDH). This approach offers comparable outcomes to unilateral surgery without increasing hospital stays or complications.

Area of Science:

  • Orthopedic Surgery
  • Hip Reconstruction
  • Developmental Dysplasia of the Hip

Background:

  • High-riding developmental dysplasia of the hip (DDH) presents unique challenges in total hip arthroplasty (THA).
  • Evaluating the efficacy of one-stage bilateral THA in patients with high-riding DDH.

Purpose of the Study:

  • To assess the safety and effectiveness of one-stage bilateral THA compared to unilateral THA in patients with high-riding DDH.
  • To determine if bilateral THA impacts hospital stay duration or complication rates.

Main Methods:

  • Retrospective review of 69 cases (51 patients) with high-riding DDH undergoing THA between 2010 and 2013.
  • Patients divided into unilateral (Group 1) and one-stage bilateral (Group 2) surgery groups.
  • Clinical outcomes measured using the Visual Analog Scale (VAS) and Harris Hip Score (HHS).

Main Results:

  • Average follow-up: 37.3 months (Group 1) and 38.8 months (Group 2).
  • Significant improvements in HHS and VAS scores observed in both groups post-surgery, with no statistical difference between them.
  • No significant difference in hospital stay duration (5.2 vs. 6.2 days) or complication rates (P=.137) between the groups.

Conclusions:

  • One-stage bilateral THA is an effective treatment for high-riding DDH, yielding results comparable to unilateral THA.
  • This surgical approach does not prolong hospital stays or increase the risk of postoperative complications.
  • One-stage bilateral THA is a viable option for managing bilateral hip osteoarthritis secondary to high-riding DDH.
Abstract

Keywords:
bilateral THAcomplicationsdevelopmental hip dysplasiashortening osteotomytotal hip arthroplastytransverse osteotomy

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