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Total Hip Arthroplasty and Femoral Shortening Osteotomy in Patients With Developmental Dysplasia of the Hip

March 01, 2019

Contributors: Darwin Chen, MD; Aakash Keswani; Jonathan Robinson, MD; Jonathan Robinson, MD

Total hip arthroplasty in patients with Crowe type IV hip deformity is a challenge for orthopaedic surgeons. Placement of the acetabular component in the true acetabulum results in durable outcomes but may make reduction difficult. Leg lengthening of 4 cm or more may increase the risk of sciatic nerve injury. A femoral shortening osteotomy can help protect the sciatic nerve from traction injury. This video shows the technique for total hip arthroplasty and femoral shortening osteotomy in patients with developmental dysplasia of the hip. The video also demonstrates the use of a handheld nerve stimulator, which aids in intraoperative decision making.

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