The Effects of Different Femoral Osteotomy Methods on the Complications and Hip Joint Function of Total Hip Replacement for Developmental Dysplasia of the Hip
[Objective]To investigate the effects of different femoral osteotomy methods on the com-plications and hip joint function of total hip replacement(THR)for developmental dysplasia of the hip(DDH).[Methods]A total of 95 DDH patients who underwent THR treatment in our hospital from Jan-uary 2021 to October 2022 were selected and divided into three groups according to different osteotomy methods:Group A[using short and shortened trochanter osteotomy(SSO),n=32],Group B[using extended trochanter osteotomy(ETO),n=32],and Group C(using large trochanter long oblique oste-otomy,n=31).The surgical related indicators,hip joint function scores,and incidence of complications were compared among the three groups.[Results]The results showed that the operation time of Group C was shorter than that of Group A and Group B,and the total bleeding volume was less than that of Group A and Group B,with statistically significant differences(P＜0.05).At 1 week,1 month,and 3 months after surgery,the hip joint function scores of Group C were higher than those of Group A and Group B(P＜0.05).The healing time of the osteotomy site and the difference in lower limb length one year after surgery in Group C were less than those in Group A and Group B(P＜0.05);One week after surgery,the pain level in Group C was lower than that in Group A and Group B(P＜0.05).There was no statistically significant difference in the incidence of complications among the three groups(P＞0.05).[Conclusion]The use of different femoral osteotomy methods for THR treatment in DDH pa-tients can effectively improve hip joint function and reduce the incidence of complications.However,the use of a large trochanter long oblique osteotomy method can significantly shorten the surgical time,re-duce total bleeding,and promote patient recovery.
Hip Dislocation,Congenital/SUOsteotomyArthroplasty,Replacement,HipPostoperative Complications
万方数据
维普
