期刊论文详细信息
Arthroplasty Today
Bilateral Total Hip Arthroplasty in the Setting of Developmental Dysplasia of the Hip and Extreme Hip Flexion Requirements due to Phocomelia
William F. Sherman, MD, MBA1  Akshar H. Patel, MD1  Stefan W. Kreuzer, MD, MSc2 
[1] Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, LA, USA;Inov8 Orthopedics, Houston, TX, USA;
关键词: Total hip arthroplasty;    Hip dysplasia;    Phocomelia;    Limb defect;    Contracture;    Computer navigation;   
DOI  :  
来源: DOAJ
【 摘 要 】

Phocomelia is a rare congenital birth defect marked by hypoplastic or markedly absent limbs. Developmental dysplasia of the hip (DDH) is a congenital disorder with a failure of the native acetabulum to provide complete coverage over the femoral head. The secondary osteoarthritis that develops from DDH is technically challenging for orthopedic surgeons because of distorted anatomy. The present case describes the diagnosis of Crowe 3 DDH in a phocomelia patient with hyperflexion requirements who successfully underwent staged bilateral total hip arthroplasty via a direct anterior approach. It highlights the utility of preoperative computerized tomography and intraoperative computer navigation to assist in implant placement. Recognizing difficult arthroplasty cases in advance is imperative as these cases may require great expertise and more extensive surgical planning.

【 授权许可】

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