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Arthroplast Today. 2018 May 3;4(3):279-286. doi: 10.1016/j.artd.2018.03.001. eCollection 2018 Sep.

Total hip arthroplasty and femoral nail lengthening for hip dysplasia and limb-length discrepancy.

Author information

1
Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL, USA.
2
Hospital for Special Surgery; Limb Lengthening and Complex Reconstruction Service (LLCRS); Limb Salvage and Amputation Reconstruction Center (LSARC); Clinical Orthopaedic Surgery, Weill Cornell Medical College, Cornell University, New York, NY, USA.
3
Departments of Surgery and Pediatric Surgery, McGill University, Montreal, Quebec, Canada.

Abstract

The application of distraction osteogenesis through the use of magnet-operated, remote-controlled intramedullary lengthening continues to provide new opportunities for accurate limb equalization. While limb-length discrepancy and deformity can be addressed by total hip arthroplasty alone, the magnitude of correction is limited by the soft-tissue envelope and complications such as sciatic nerve palsy. This 3-patient case series presents the combination of staged ipsilateral total hip arthroplasty and retrograde intramedullary femoral nail lengthening for the correction of both deformity and limb-length discrepancy. Our results report leg-length equalization, independent ambulation without assistive devices, and excellent bone and functional outcomes without complications, demonstrating that this combined technique can be used to achieve targeted lengthening and deformity correction.

KEYWORDS:

Deformity; Limb lengthening; Limb-length discrepancy; PRECICE; Total hip arthroplasty

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