Total Hip Arthroplasty In The Treatment Of Adult High Developmental Hip Dislocation Analysis Of Complications

Objective:To evaluate the complications of total hip arthroplasty (THA) for developmental high dislocation of the hip (DDH) in adults. Methods:May 1999 to December 2009, our department of 64 patients (78 hips) of high developmental dislocation of the hip underwent total hip replacement surgery,5 patients were male, female 59 cases; aged 16-56 years, mean 35.4 Years old. Preoperative X-ray diagnosis of the patients were Hartofilakidis the typeâ…¢dislocation. In this paper, we have encountered complications during surgery causes and treatment were analyzed. Results:64 patients (78 hips) were obtained and clinical follow-up X ray. Were followed up 6 to 132 months, average 52.7 months.27 patients had postoperative complications.1 case of double dislocation of the hip who, while bilateral replacement, first complete the side of surgery, side to do the opposite operation, reset push stocks too pelvis, resulting in the side of the first complete acetabular fractures, acetabular cup loosening, and the line cut Open reduction and internal fixation,2 years completely loose, line revision surgery.15 cases of proximal femoral reamed splitting caused by, tied with a fixed,1 osteotomy, the line of the distal femur reamed to a remote splitting, be bundled with a fixed, six months after the review, the fractures healed. Osteotomy in 1 case reviewed after two years, separation did not heal, but patients are asymptomatic, and 1 year after osteotomy did not heal the contralateral dislocation line will be cut under the replacement of the femoral bone after implantation of the appropriate pruning Osteotomy not healing, healed six months after the review.6 cases of femoral nerve injury are fully recovered in six months, the sciatic nerve injury in 2 cases, one case recovered completely, one case is followed up for 4 pieces of leg muscle strength wereâ…£. No dislocation, infection and complications such as deep vein thrombosis. Conclusions:Total hip replacement is an effective method in the treatment to high conginetal dislocation of hip in adults. It is a challenging work to the Orthopaedic surgeon. The careful preopertaive planning and meticulous surgical techniques are recommended. The authors consider that it is mandatory to choose the femural components fitting the feature of the femurs of the developmental dysplasia of hip.