Total hip arthroplasty for Crowe type IV developmental dysplasia of the hip combined with intertrochanteric fracture: a
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CASE REPORT
Total hip arthroplasty for Crowe type IV developmental dysplasia of the hip combined with intertrochanteric fracture: a case report and literature review Wei Chen1, Yong Ma1, Hui Ma1 and Mao Nie2*
Abstract Background: Total hip arthroplasty for Crowe type IV developmental dysplasia of the hip (DDH) is a complex procedure. Crowe type IV DDH combined with intertrochanteric frature is very rare. Case presentation: A 75-year-old patient suffering from left hip pain after a fall was sent to our hospital. Plain radiographs and computed tomography scans were used to diagnose this patient with DDH combined with an intertrochanteric fracture. We conducted a total hip arthroplasty using an S-rom prosthesis following subtrochanteric shortening osteotomy in this patient, after which steel wires were used to fix the intertrochanteric fracture. The patient did not suffer any significant intraoperative or postoperative complications, and treatment was sufficient to overcome lower leg abnormalities. The patient was encouraged to resume walking with support at 3 days post-surgery, and at 6-month postoperatively he had regained the majority of his original range of motion. At 10-month postoperatively, the intertrochanteric fracture and subtrochanteric osteotomy of left femur had healed effectively,and the patient’s VAS and mHSS scores had improved significantly. Conclusions: Total hip arthroplasty is an effective approach to treat patients suffering from Crowe type IV DDH combined with an intertrochanteric fracture, and can achieve satisfactory clinical outcomes. Keywords: Developmental dysplasia of the hip, Intertrochanteric fracture, Total hip arthroplasty Background Crowe type IV developmental dysplasia of the hip (DDH) is a severe deformity that results in hip dysfunction and an abnormal gait [1]. This condition is typically treated via total hip arthroplasty (THA), which is a technically demanding procedure. Intertrochanteric hip fractures commonly occur among older adults. However, there have not been any reports regarding the appropriate *Correspondence: [email protected] 2 Department of Orthopaedic Surgery, The Second Affiliated Hospital of Chongqing Medical University, 76 Linjiang Road, Yuzhong District, Chongqing 400010, People’s Republic of China Full list of author information is available at the end of the article
treatment of patients simultaneously suffering from both DDH and an intertrochanteric hip fracture. In the present report, we describe a rare case of a patient that presented with type IV DDH combined with an intertrochanteric fracture. This patient achieved good clinical outcomes following treatment via THA with subtrochanteric shortening osteotomy and greater trochanter fixation.
Case presentation A 75-year-old male patient was sent to our hospital suffering from left hip pain sustainedly after an accidental fall. Radiographic imaging revealed that this patient was affected by Crowe type IV DDH combined with an Evans
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