Reconstructive arthroplasty for coxarthrosis of dysplastic genesis with femoral deformity (a review of the literature)

Introduction. Reconstructive arthroplasty of the hip in patients with coxarthrosis accompanied by femoral deformity is a difficult and relevant problem. The issues related to the definition and classification of femoral deformity, the reconstruction optimal amount and the type of femoral component fixation are still open. Purpose. To analyze the available data about the hip arthroplasty in patients with femoral deformity in terms of the reconstruction optimal amount and the type of femoral component fixation. Materials and Methods. The literature search made in various information systems (PubMed, MedLine, Scopus, Library.ru, State Public Scientific and Technical Library /GNTB/, Central Scientific and Technical Library /TsNTB/, and others) using the terms: “femoral deformity”; “total hip arthroplasty after previous osteotomy”; “the hip arthroplasty in patients with coxarthrosis accompanied by femoral deformity”; “femoral osteotomy”. Conclusions. There is no generally accepted definition of the concept of the femoral deformity and its classification in literature at present, and so concerning the objective algorithms of choosing surgical tactics for arthroplasty in patients with coxarthrosis accompanied by femoral deformity.