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In addition to the shortening of 3 cm, abduction was limited, and the patient was experiencing increasing pain, so that walking was hardly possible. Despite her young age, the only alternative to a detrimental hip fusion (arthrodesis) for achieving freedom from pain and mobility was an artificial hip joint.",[],[330],"lg:col-span-6",{"_uid":332,"image":333,"title":336,"component":337,"copyright":9,"image_style":338,"component_style":339},"681b5e04-476c-4569-bb0a-6e5d6fa49476",{"id":334,"alt":96,"name":9,"focus":96,"title":96,"filename":335,"copyright":96,"fieldtype":11},1773189,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1638x3274\u002Ffc48a7f8e0\u002Fcase9_1.jpg","Shortened leg with hip dislocation","Image",[],[340],"col-span-3",{"_uid":342,"image":343,"title":346,"component":337,"copyright":9,"image_style":347,"component_style":348},"3bb80328-fb66-4beb-a733-4e2ba385100e",{"id":344,"alt":96,"name":9,"focus":96,"title":96,"filename":345,"copyright":96,"fieldtype":11},1773190,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F732x1464\u002F8cca07c58b\u002Fcase9_2.jpg","The femoral head was dislocated proximally",[],[340],{"_uid":350,"text":351,"component":317,"text_style":352,"component_style":353},"eb1da6c7-dc84-492b-abdb-78b765d5dfe3","## Treatment",[],[],{"_uid":355,"text":356,"component":317,"text_style":357,"component_style":358},"cb816814-a9dc-4843-ad55-482184380a72","During the first stage of treatment, the artificial acetabular cup was implanted in the correct position at the same height as the opposite side. A FITBONE intramedullary distraction nail was inserted into the femur and hinged to a new type of pelvic support plate. After discharge from hospital, the patient underwent continuous soft tissue stretching for 6 weeks so that the sensitive sciatic nerve could also slowly stretch, without injury. When the femur had reached the correct position, the second stage of treatment was carried out: the distraction nail was removed and the stem of the artificial hip joint was implanted.",[],[],{"_uid":360,"image":361,"title":364,"component":337,"copyright":9,"image_style":365,"component_style":366},"95708aa4-f73b-47d6-8c6d-120455f7ed81",{"id":362,"alt":96,"name":9,"focus":96,"title":96,"filename":363,"copyright":96,"fieldtype":11},1773192,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F2343x1920\u002F077126c24d\u002Fcase9_6.png","Before starting distraction",[],[330],{"_uid":368,"image":369,"title":372,"component":337,"copyright":9,"image_style":373,"component_style":374},"fd67caef-6c85-477c-9540-f71c37a07f94",{"id":370,"alt":96,"name":9,"focus":96,"title":96,"filename":371,"copyright":96,"fieldtype":11},1773191,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F2366x1920\u002F50c4cba6fd\u002Fcase9_5.png","After completion of lengthening",[],[330],{"_uid":376,"text":377,"component":317,"text_style":378,"component_style":379},"75a9216b-8232-4f4d-9871-f9324b0f878f","## Result",[],[],{"_uid":381,"text":382,"component":317,"text_style":383,"component_style":384},"9832b659-b65c-47f6-84aa-593c21228051","After the treatment, the affected hip joint was in an anatomically-correct position for the first time, with almost normal flexibility. In addition, her leg lengths were equal, and she was able to walk without pain. Both hip and knee joints were at same level, which is crucial for a normal gait pattern. Such treatment could previously only be carried out with external fixators, which created a significant risk of infection, especially in the area of the artificial hip joint.",[],[330],{"_uid":386,"image":387,"title":391,"component":337,"copyright":9,"image_style":392,"component_style":393},"fe5e3720-7619-4be8-ba38-fc9b0f7a22c1",{"id":388,"alt":96,"_uid":389,"name":9,"focus":96,"title":96,"filename":390,"copyright":96,"fieldtype":11},1773187,"0eb3552f-a188-4b7a-ad04-8b05417841bd","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1412x2824\u002F0ee21b8edb\u002Fcase9_3.jpg","Treatment result with equal length legs",[],[340],{"_uid":395,"image":396,"title":399,"component":337,"copyright":9,"image_style":400,"component_style":401},"293aa458-6488-4cb9-932a-c8e0d82ef2d3",{"id":397,"alt":96,"name":9,"focus":96,"title":96,"filename":398,"copyright":96,"fieldtype":11},1773188,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F740x1480\u002Fba63ab98d0\u002Fcase9_4.jpg","Artificial hip joint right in the anatomically correct position",[],[340],{"_uid":403,"title":404,"stories":405,"component":415},"b0322016-634a-4d3f-b56a-f323cbdf48e7","More information",[406],{"uuid":407,"full_slug":408,"content":409},"a02cccff-a8a7-4c6e-a604-ba2d4af44658","en\u002Fexpertise\u002Fhip-dislocation",{"_uid":410,"_editable":-1,"image":411,"intro":414,"meta_title":247},"ddc3badb-105c-4630-8131-43c4c53eff13",{"id":412,"alt":96,"name":9,"focus":96,"title":96,"filename":413,"copyright":96,"fieldtype":11},2692144,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F9567x3958\u002F17248b0850\u002Ffitbone_hip.png","If the femoral head (ball) is displaced upwards due to a maldevelopment of the acetabulum (socket) and the leg is shortened as a result, a new method developed at ZEM-Germany can be used to reposition the hip joint into the correct position. After this procedure, the implantation of an anatomically correct prosthesis is made possible and the leg is lengthened at the same time.","Reference",{"id":334,"alt":96,"name":9,"focus":96,"title":96,"filename":335,"copyright":96,"fieldtype":11},"A 28-year-old female patient with undiagnosed hip dysplasia developed a migration of the femoral head over years with increasing pain and a shortening of the leg. Despite her young age, an artificial hip joint was the only reasonable treatment option, but first the leg had to be brought into the correct position.","Page",[],[421],"max-w-screen-lg","A 28-year-old female patient with hip dysplasia underwent a special type of leg lengthening. 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