Total hip arthroplasty for Crowe type IV developmental dysplasia of the hip combined with intertrochanteric fracture: a case report and literature review

BMC Surgery

Wei Chen¹  Yong Ma¹  Hui Ma¹  Mao Nie² 

[1] Department of Orthopaedic Surgery, People’s Hospital of Fengjie County, 404600, Chongqing, People’s Republic of China;Department of Orthopaedic Surgery, The Second Affiliated Hospital of Chongqing Medical University, 76 Linjiang Road, Yuzhong District, 400010, Chongqing, People’s Republic of China;

关键词: Developmental dysplasia of the hip;    Intertrochanteric fracture;    Total hip arthroplasty;   

DOI  :  10.1186/s12893-020-00941-2

来源: Springer

【 摘 要 】

BackgroundTotal 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 presentationA 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.ConclusionsTotal 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.

【 授权许可】

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