Abstract:
Objective:To explore the near- and middle-term curative effects of total hip replacement in the treatment of developmental dysplasia of the hip(DDH) inadults.
Methods:Twenty-four patients with DDH were treated with total hip replacement.The preoperative Harris scores, postoperative X-ray, operation time and bleeding volume of all cases were analyzed.
Results:All patients were followed-up for 24 to 36 months.The preoperative and postoperative Harris scores were 28 to 65 and 72 to 92, respectively.The sciatic nerve palsy, deep vein thrombosis, wound infection and artificial dislocation were not be found in all patients.X-ray showed the prosthesis location was good, and no aseptic loosening and sinking of prosthesis appeared.
Conclusions:The near-term curative effects of total hip replacement in the treatment of DDH of adults are good.The sufficient preoperative assessment, choosing suitable prosthesis and reconstruction of acetabulum center are the key of successful operation.