Convened under the auspicious of esteemed endorsers - ISTA

The average Harris hip score from 23 pre -operatively has been increase to 85.38. (The pre op.scores were 12.625 – 40.775 / The post op. scores were 64.92 – 96)No post operative infection was seen.Discussion:This is a midterm follow up survey , but 7 cases have more than 9 years follow up with onlyone stem loosening (11% long term loosening rate). It is a challenging procedure for performingjoint replacement in high riding DDH , if so using reinforcement ring with graft for trueacetabulum reconstruction and getting primary proximal femoral shortening in a step cut Lfashion around the lesser trochanteric region would be a worthy procedure. In high riding DDHdue to hypoplasia of lesser trochanter, there is not a significant difference in bone resistanceand it is possible to get shortening in this area without fearing of deco promising bony stability.The average shortening is 3 Cm.In specific cases with more severe contracture for preventing neuro-vascular complication,concomitant shortening osteotomy in supracondylar area is recommended.Although greater trochanter fibrous union has produced less functional impairment, but a bettertechnique should be considered. Distal and lateral advancement of osteotomised greatertrochanter lead to better abductor muscle performance and less limp.Adductor tenotmy has a great importance in contracted soft tissue, so in any case withabduction limitation it should be performed.FiguresFigure 1Saturday, October 9, 2010, 15:00-15:30Session B21: Innovation in Hip ArthroplastyMinimal Invasive (MIS) Posterior Approach in Short Stem Total HipArthroplasty-Short Term Resuts*Khalaf Moussa - Westpfalz Teaching Hospital - Kusel, Germany*Email: kmoussa@gmx.defile:///E|/ISTA2010-Abstracts.htm[12/7/2011 3:15:47 PM]