Conventional Cementless Total Hip Arthroplasty for Hip Osteoarthritis after Distal Trochanteric Transfer: A Report of Two Cases

Distal trochanteric transfer (DTT) has been widely performed to treat developmental dysplasia of the hip or Perthes disease. Total hip arthroplasty (THA) following DTT in patients with hip osteoarthritis is one of the most challenging procedures for hip surgeons, because great care must be taken reg...

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Main Authors: Hirohito Hirata, Motoki Sonohata, Akira Hashimoto, Sakumo Kii, Takema Nakashima, Masaya Ueno, Shuichi Eto, Shunsuke Kawano, Masaaki Mawatari
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2020/8853453
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author Hirohito Hirata
Motoki Sonohata
Akira Hashimoto
Sakumo Kii
Takema Nakashima
Masaya Ueno
Shuichi Eto
Shunsuke Kawano
Masaaki Mawatari
author_facet Hirohito Hirata
Motoki Sonohata
Akira Hashimoto
Sakumo Kii
Takema Nakashima
Masaya Ueno
Shuichi Eto
Shunsuke Kawano
Masaaki Mawatari
author_sort Hirohito Hirata
collection DOAJ
description Distal trochanteric transfer (DTT) has been widely performed to treat developmental dysplasia of the hip or Perthes disease. Total hip arthroplasty (THA) following DTT in patients with hip osteoarthritis is one of the most challenging procedures for hip surgeons, because great care must be taken regarding anatomical abnormalities of the greater trochanter and the soft tissue attached to the greater trochanter. To the best of our knowledge, there are no reports on THA after DTT. We herein report two cases of patients who underwent THA post DTT using cementless components. After THA, both patients developed abduction temporary contraction because of leg length extension and gluteus medius hypertension. However, in both cases, the contraction was reversible within two months and the final clinical result was good. Therefore, THA can be considered an effective and safe choice for treating osteoarthritis after DTT.
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publishDate 2020-01-01
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series Case Reports in Orthopedics
spelling doaj-art-459efa57d9504c519a058fbc5b8795ef2025-08-20T02:37:52ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/88534538853453Conventional Cementless Total Hip Arthroplasty for Hip Osteoarthritis after Distal Trochanteric Transfer: A Report of Two CasesHirohito Hirata0Motoki Sonohata1Akira Hashimoto2Sakumo Kii3Takema Nakashima4Masaya Ueno5Shuichi Eto6Shunsuke Kawano7Masaaki Mawatari8Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga 849-8501, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga 849-8501, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga 849-8501, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga 849-8501, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga 849-8501, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga 849-8501, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga 849-8501, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga 849-8501, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga 849-8501, JapanDistal trochanteric transfer (DTT) has been widely performed to treat developmental dysplasia of the hip or Perthes disease. Total hip arthroplasty (THA) following DTT in patients with hip osteoarthritis is one of the most challenging procedures for hip surgeons, because great care must be taken regarding anatomical abnormalities of the greater trochanter and the soft tissue attached to the greater trochanter. To the best of our knowledge, there are no reports on THA after DTT. We herein report two cases of patients who underwent THA post DTT using cementless components. After THA, both patients developed abduction temporary contraction because of leg length extension and gluteus medius hypertension. However, in both cases, the contraction was reversible within two months and the final clinical result was good. Therefore, THA can be considered an effective and safe choice for treating osteoarthritis after DTT.http://dx.doi.org/10.1155/2020/8853453
spellingShingle Hirohito Hirata
Motoki Sonohata
Akira Hashimoto
Sakumo Kii
Takema Nakashima
Masaya Ueno
Shuichi Eto
Shunsuke Kawano
Masaaki Mawatari
Conventional Cementless Total Hip Arthroplasty for Hip Osteoarthritis after Distal Trochanteric Transfer: A Report of Two Cases
Case Reports in Orthopedics
title Conventional Cementless Total Hip Arthroplasty for Hip Osteoarthritis after Distal Trochanteric Transfer: A Report of Two Cases
title_full Conventional Cementless Total Hip Arthroplasty for Hip Osteoarthritis after Distal Trochanteric Transfer: A Report of Two Cases
title_fullStr Conventional Cementless Total Hip Arthroplasty for Hip Osteoarthritis after Distal Trochanteric Transfer: A Report of Two Cases
title_full_unstemmed Conventional Cementless Total Hip Arthroplasty for Hip Osteoarthritis after Distal Trochanteric Transfer: A Report of Two Cases
title_short Conventional Cementless Total Hip Arthroplasty for Hip Osteoarthritis after Distal Trochanteric Transfer: A Report of Two Cases
title_sort conventional cementless total hip arthroplasty for hip osteoarthritis after distal trochanteric transfer a report of two cases
url http://dx.doi.org/10.1155/2020/8853453
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