Mattingly David A
New England Baptist Hospital in Boston, Mass, USA.
Orthopedics. 2005 Sep;28(9 Suppl):s1069-73. doi: 10.3928/0147-7447-20050902-14.
Abnormal femoral neck anteversion, previous proximal femoral osteotomies, and small femoral canals with metaphyseal/diaphyseal mismatch are commonly seen in patients with developmental dysplasia of the hip (DDH) and are ideal indications for using a modular femoral stem. The torsional stability of the fluted modular stem makes it the implant of choice for subtrochanteric osteotomy stabilization for reduction of high-riding DDH. Modularity optimizes proximal and distal implant stability while permitting adjustments to anteversion, offset, and leg length to provide custom biomechanical reconstruction of the DDH hip. Clinical results with few complications can be achieved when using this stem in complex DDH surgery.
股骨颈前倾角异常、既往股骨近端截骨术以及存在干骺端/骨干不匹配的小股骨髓腔在发育性髋关节发育不良(DDH)患者中较为常见,是使用模块化股骨柄的理想指征。带槽模块化股骨柄的扭转稳定性使其成为转子下截骨稳定术的首选植入物,用于治疗高位DDH。模块化设计优化了植入物近端和远端的稳定性,同时允许调整前倾角、偏移量和腿长,以对DDH髋关节进行定制化生物力学重建。在复杂的DDH手术中使用这种股骨柄可取得临床效果且并发症较少。