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Reduction of High Hip Dislocation With a Distraction Nail and Arthroplasty (Preliminary Results of a Novel Technique)

A novel distraction technique is described for total hip arthroplasty in symptomatic high hip dislocation (Crowe IV) combining an intramedullary motorized lengthening nail with a pelvic support plate to gradually stretch hip soft tissues (distalization) and performing total hip arthroplasty with the...

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Autores principales: Baumgart, Rainer, Dahl, Mark, Horn, Stephan, Plötz, Werner, Baumgart, Tillman, Morrison, Stewart
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10665697/
https://www.ncbi.nlm.nih.gov/pubmed/38023644
http://dx.doi.org/10.1016/j.artd.2023.101257
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author Baumgart, Rainer
Dahl, Mark
Horn, Stephan
Plötz, Werner
Baumgart, Tillman
Morrison, Stewart
author_facet Baumgart, Rainer
Dahl, Mark
Horn, Stephan
Plötz, Werner
Baumgart, Tillman
Morrison, Stewart
author_sort Baumgart, Rainer
collection PubMed
description A novel distraction technique is described for total hip arthroplasty in symptomatic high hip dislocation (Crowe IV) combining an intramedullary motorized lengthening nail with a pelvic support plate to gradually stretch hip soft tissues (distalization) and performing total hip arthroplasty with the cup in the primary acetabulum. Twelve patients (15 hips) were identified in a retrospective study via chart review. Medical records and radiographs were reviewed for details of the initial case parameters, surgical details, magnitude of distalization, duration of treatment, outcomes, and complications. Followed by an average of 67.4 mm of distalization, nearly anatomical cup placement, and equal leg length were achieved in all patients. During distalization, pain level was low with acceptable range of motion. One unplanned surgery and no complications with long-term sequelae occurred.
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spelling pubmed-106656972023-11-06 Reduction of High Hip Dislocation With a Distraction Nail and Arthroplasty (Preliminary Results of a Novel Technique) Baumgart, Rainer Dahl, Mark Horn, Stephan Plötz, Werner Baumgart, Tillman Morrison, Stewart Arthroplast Today Surgical Technique A novel distraction technique is described for total hip arthroplasty in symptomatic high hip dislocation (Crowe IV) combining an intramedullary motorized lengthening nail with a pelvic support plate to gradually stretch hip soft tissues (distalization) and performing total hip arthroplasty with the cup in the primary acetabulum. Twelve patients (15 hips) were identified in a retrospective study via chart review. Medical records and radiographs were reviewed for details of the initial case parameters, surgical details, magnitude of distalization, duration of treatment, outcomes, and complications. Followed by an average of 67.4 mm of distalization, nearly anatomical cup placement, and equal leg length were achieved in all patients. During distalization, pain level was low with acceptable range of motion. One unplanned surgery and no complications with long-term sequelae occurred. Elsevier 2023-11-06 /pmc/articles/PMC10665697/ /pubmed/38023644 http://dx.doi.org/10.1016/j.artd.2023.101257 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Surgical Technique
Baumgart, Rainer
Dahl, Mark
Horn, Stephan
Plötz, Werner
Baumgart, Tillman
Morrison, Stewart
Reduction of High Hip Dislocation With a Distraction Nail and Arthroplasty (Preliminary Results of a Novel Technique)
title Reduction of High Hip Dislocation With a Distraction Nail and Arthroplasty (Preliminary Results of a Novel Technique)
title_full Reduction of High Hip Dislocation With a Distraction Nail and Arthroplasty (Preliminary Results of a Novel Technique)
title_fullStr Reduction of High Hip Dislocation With a Distraction Nail and Arthroplasty (Preliminary Results of a Novel Technique)
title_full_unstemmed Reduction of High Hip Dislocation With a Distraction Nail and Arthroplasty (Preliminary Results of a Novel Technique)
title_short Reduction of High Hip Dislocation With a Distraction Nail and Arthroplasty (Preliminary Results of a Novel Technique)
title_sort reduction of high hip dislocation with a distraction nail and arthroplasty (preliminary results of a novel technique)
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10665697/
https://www.ncbi.nlm.nih.gov/pubmed/38023644
http://dx.doi.org/10.1016/j.artd.2023.101257
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