Levitetz Department of Orthopaedic Surgery, Cleveland Clinic Florida, Weston, Florida.
JBJS Case Connect. 2021 Mar 18;11(1):01709767-202103000-00054. doi: e20.00336.
A patient with Aitken type A proximal focal femoral deficiency (PFFD) and significant limb length discrepancy managed with total hip arthroplasty making use of a novel technique that features a direct anterior approach (DAA) and a subtrochanteric shortening osteotomy.
Although the current description of the shortening osteotomy is for PFFD, it is versatile enough to allow its application in other hip pathologies requiring subtrochanteric shortening in the setting of total hip arthroplasty. The authors believe that the description of this case report and surgical technique may be an option for the experienced DAA surgeon.
采用一种新型技术对 Aitken 型 A 近端股骨局限性发育不良（PFFD）伴显著肢体长度差异的患者进行全髋关节置换术治疗，该技术的特点为直接前入路（DAA）和转子下缩短截骨术。
虽然目前对缩短截骨术的描述是针对 PFFD，但它足够通用，可以将其应用于其他需要在全髋关节置换术的情况下进行转子下缩短的髋关节病变。作者认为，这种病例报告和手术技术的描述可能是有经验的 DAA 外科医生的一种选择。
