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Bilateral Staged Total Hip Replacement and the Natural Progress of an Untreated Case of Developmental Dysplasia (Dislocation) of the Hip: A Clinical Case Report by the Surgeon and the Patient.

Honarpisheh H, Ghazavi MT - Iran J Med Sci (2015)

Bottom Line: The natural history of an untreated case of a Developmental Dysplasia (Dislocation) of the Hip (DDH) associated with multiple congenital abnormalities is reported in a 55-years-old man.In addition, to relieve the pain, the walking disabilities were overcome, hence gaining normal walking in swing and stances.The leg length discrepancy was corrected by anatomically positioned prostheses, examined by the knee bending test and characterized and evidenced by radiological features and indices.

View Article: PubMed Central - PubMed

Affiliation: Iranian Medical Science Councils Secretariat, Deputy of Education, Ministry of Health and Medical Education, Tehran, Iran;

ABSTRACT
The natural history of an untreated case of a Developmental Dysplasia (Dislocation) of the Hip (DDH) associated with multiple congenital abnormalities is reported in a 55-years-old man. The patient's complaints and the varieties of the typical manifestations emerged in other parts of the body throughout the life are reviewed and discussed as comorbidities of a dysplastic condition. Two-stage bilateral total hip replacement (THR) operations were performed at the age of 55. In addition, to relieve the pain, the walking disabilities were overcome, hence gaining normal walking in swing and stances. The leg length discrepancy was corrected by anatomically positioned prostheses, examined by the knee bending test and characterized and evidenced by radiological features and indices.

No MeSH data available.


Related in: MedlinePlus

a) Right hip X-ray lateral view, b) Left hip X-ray lateral view.
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Figure 2: a) Right hip X-ray lateral view, b) Left hip X-ray lateral view.

Mentions: The pelvic X-ray showed false acetabulum, broken Shenton’s line which was worse on the left side, severe arthritis changes such as diminished joint space, ossified neolimbi on both sides as shown in figure 1 (arrows), large osteophytes and bony spurs, loss of cartilage, massive sclerotic changes on both sides, dislocation on the left and subluxation on the right side. Increased anteversion of the femoral neck of the left side and lateral views are shown in lateral views of both hips (figures 2a and 2b).


Bilateral Staged Total Hip Replacement and the Natural Progress of an Untreated Case of Developmental Dysplasia (Dislocation) of the Hip: A Clinical Case Report by the Surgeon and the Patient.

Honarpisheh H, Ghazavi MT - Iran J Med Sci (2015)

a) Right hip X-ray lateral view, b) Left hip X-ray lateral view.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4487466&req=5

Figure 2: a) Right hip X-ray lateral view, b) Left hip X-ray lateral view.
Mentions: The pelvic X-ray showed false acetabulum, broken Shenton’s line which was worse on the left side, severe arthritis changes such as diminished joint space, ossified neolimbi on both sides as shown in figure 1 (arrows), large osteophytes and bony spurs, loss of cartilage, massive sclerotic changes on both sides, dislocation on the left and subluxation on the right side. Increased anteversion of the femoral neck of the left side and lateral views are shown in lateral views of both hips (figures 2a and 2b).

Bottom Line: The natural history of an untreated case of a Developmental Dysplasia (Dislocation) of the Hip (DDH) associated with multiple congenital abnormalities is reported in a 55-years-old man.In addition, to relieve the pain, the walking disabilities were overcome, hence gaining normal walking in swing and stances.The leg length discrepancy was corrected by anatomically positioned prostheses, examined by the knee bending test and characterized and evidenced by radiological features and indices.

View Article: PubMed Central - PubMed

Affiliation: Iranian Medical Science Councils Secretariat, Deputy of Education, Ministry of Health and Medical Education, Tehran, Iran;

ABSTRACT
The natural history of an untreated case of a Developmental Dysplasia (Dislocation) of the Hip (DDH) associated with multiple congenital abnormalities is reported in a 55-years-old man. The patient's complaints and the varieties of the typical manifestations emerged in other parts of the body throughout the life are reviewed and discussed as comorbidities of a dysplastic condition. Two-stage bilateral total hip replacement (THR) operations were performed at the age of 55. In addition, to relieve the pain, the walking disabilities were overcome, hence gaining normal walking in swing and stances. The leg length discrepancy was corrected by anatomically positioned prostheses, examined by the knee bending test and characterized and evidenced by radiological features and indices.

No MeSH data available.


Related in: MedlinePlus