Saratov JOURNAL of Medical and Scientific Research

Biomechanical criteria of orthopedic status of patients with dysplastic coxarthrosis (Crowe) IV before and after treatment

Year: 2017, volume 13 Issue: №3 Pages: 520-526
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Yusupov K.S., Barabash Yu.A., Pavlenko N.N., Romakina N.A., Anisimova E.A., Letov A.S., Sertakova A.V., Anisimov D.l.
Organization: Scientific Research Institute of Traumatology Orthopedics and Neurosurgery of Saratov State Medical University n.a. V.I. Razumovsky

The aim: to analyze locomotor function of lower limbs in patients with dysplastic coxarthrosis Crowe IV type before and after single-step hip joint endoprosthesis and femoral bone osteotomy conducted by our own technology. Material and Methods. 42 patients with one-side dysplastic coxarthrosis Crowe IV type were examined and operated. The mean age at the time of admission in men was 47.3±1.2 years, women — 46.1 ±1.1 years. Static and kinematic function of lower limbs was evaluated with the help of stabilometrics and podometry before and one year after the operation. Results. Before treatment, the patients had deviations of static and dynamic function of locomotor system stabilometri-cally seen as instability in upright position and podographically as a compromised gait. One year postsurgically we indicated static balance between the limbs within the normal range, expanded motoring mode, which was supported by significant improvement in the biomechanical characteristics of locomotor function of the patients. Conclusion. Total hip replacement in combination with modifying osteotomy of the hip conducted by a unique technique restores static and kinematic function of lower limbs in patients with high congenital hip dislocation (dysplastic coxarthrosis Crowe type IV) which is proved by stabilographic and podographic indices one year after operation.

1. Crowe JF, Mani VJ, Ranawat CS. Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg Amer1979;61: 15-23
2. Eitzen I, Fernandes L, Nordsletten L, Risberg MA. Sagittal plane gait characteristics in hip osteoarthritis patients with mild to moderate symptoms compared to healthy controls: a cross-sectional study. ВМС Musculoskeletal Disorders 2012; 13: 258
3. Anisimova EA, Zaitsev VA, Anisimov Dl, et al. Variability and conjugacy morphometric parameters of bone structure hip joint. Bulletin of Medical Internet Conferences 2015; 5 (1): 1002-1006
4. HorakZ, Kubovy Р, Stupka М, Horakova J. Biomechanical factors influencing the beginning and development of osteoarthritis in the hip joint. Wien Med Wochenschr 2011; 161: 486^92
5. Skvorcov DV. Clinical analysis of movements. Ivanovo: NPC: «Stimulus», 1996; 344 p.
6. Rosenstein AD, Roberto JD. Challenges and Solutions for Total Hip Arthroplasty in Treatment of Patients with Symptomatic Sequelae of Developmental Dysplasia of the Hip. Amer J Orthop 2011; 40 (2): 87-91
7. Yang S, Cui Q. Total hip arthroplasty in developmental dysplasia of the hip: Review of anatomy, techniques and outcomes. World Journal of Orthopedics 2012; 3 (5): 42^8
8. Pliushchev AL. Dysplastic coxarthrosis: Theory and practice. M.: Leto-Print, 007; 495 p.
9. Biant LC, Bruce WJ, Assini JB, Walker PM, Walsh WR. Primary total hip arthroplasty in severe developmental dysplasia of the hip: Ten years results using a cementless modular stem. J Arthroplasty 2009; 24: 27-32
10. Amstutz HC, Le Duff MJ. Cementing the metaphyseal stem in metal-on-metal resurfacing: when and why. Clin Orthop Relat Res 2009; 467 (1): 79-83
11. Krych AJ, Howard JL, Trousdale RT, Cabanela ME, Berry DJ. Total hip arthroplasty with shortening subtrochanteric osteotomy in Crowe type-IV developmental dysplasia: surgical technique. J Bone Joint SurgAmer 2010; 92 (Suppl 1): 176-187
12. Jusupov KS, Anisimova EA, Voskresenskij OYu, et al. Total hip arthroplasty in combination with a double V-shaped shortening of the subjective osteotomy of the thigh in patients with dysplasticcoxarthrosissuch as Crowe IV. Bulletin of Tambov University. Series: Natural and technical sciences 2014; 19 (3): 970-975
13. Method of hip replacement with congenital hip dislocation: Patent №2518141 Russian Federation, IPCA61B 17/56 / K. S. Jusupov, A. B. Nam, H.H. Pavlenko, S. I. Kireev, A. С Letov, D.A. Markov, R.K. Abdulnasyrov; Applicant and patent holder Federal State Institution "Saratov Research Institute of Traumatology and Orthopedics" of the Ministry of Health of the Russian Federation. № 2013118381; Claimed. 19.04.13; Published on 10.06.14. Bulletin №16. 5 p.
14. Anisimova EA, Emkuzhev OL, Anisimov Dl, et al. Comparative analysis of morphological and topometric parameters of lumbar spine in normal state and in degenerative-dystrophic changes. Saratov Journal of Medical Scientific Research 2015; 11 (4): 515-520
15. Byrne DP, Mulhall KJ, Baker JF. Anatomy & Biomechanics of the Hip. The Open Sports Medicine Journal 2010;4:51-57.

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