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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 9, 1192-1196.
doi: 10.1302/0301-620X.87B9.15928  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Three-dimensional anatomy of the hip in osteoarthritis after developmental dysplasia

J.-N. Argenson, MD, Professor and Chairman of Orthopaedic Surgery1; E. Ryembault, MSc, Clinical Researcher1; X. Flecher, MD, Senior Registrar1; N. Brassart, MD, Registrar1; S. Parratte, MD, Registrar1; and J.-M. Aubaniac, MD, Professor1

1 Service de Chirurgie Orthopédique, Hôpital Sainte-Marguerite, 270 Boulevard de Sainte-Marguerite, 13009 Marseille, France.

Correspondence should be sent to Dr J.-N. Argenson; e-mail: jean-noel.argenson{at}ap-hm.fr

Using radiography and computer tomography (CT) we studied the morphology of 83 hips in 69 Caucasian adults with osteoarthritis secondary to developmental dysplasia of the hip (DDH). A previously published series of 310 hips with primary osteoarthritis was used as a control group. According to the Crowe classification, 33 of the dysplastic hips were graded as class I, 27 as class II and 23 as class III or class IV.

The intramedullary femoral canal had reduced mediolateral and anteroposterior dimensions in all groups compared with the control group. Only in Crowe class II hips was the femoral neck-shaft angle increased. The proximal femur had more anteversion in all the developmental dysplasia of the hip groups, ranging from 2° to 80°. Templated measurement of acetabular dimensions for plain radiography closely matched measurements taken by CT.

The results of our study confirm the observations previously confined to the Japanese population.




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X. Flecher, S. Parratte, J.-M. Aubaniac, and J.-N. Argenson
Three-dimensional custom-designed cementless femoral stem for osteoarthritis secondary to congenital dislocation of the hip
J Bone Joint Surg Br, December 1, 2007; 89-B(12): 1586 - 1591.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General