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However, this technique will sacrifice femoral length and reduce the extent of any leg-length equalisation. We report our experience of 74 THRs performed between 2000 and 2008 in 65 patients with a high dislocated hip without a femoral shortening osteotomy. The mean age of the patients was 55 years (46 to 72) and the mean follow-up was 42 months (12 to 78). All implants were cementless except for one resurfacing hip implant. We attempted to place the acetabular component in the anatomical position in each hip. The mean Harris hip score improved from 53 points (34 to 74) pre-operatively to 86 points (78 to 95) at final follow-up. The mean radiologically determined leg lengthening was 42 mm (30 to 66), and the mean leg-length discrepancy decreased from 36 mm (5 to 56) pre-operatively to 8.5 mm (0 to 18) postoperatively. Although there were four (5%) post-operative femoral nerve palsies, three had fully resolved by six months after the operation. No loosening of the implant was observed, and no dislocations or infections were encountered. <\/jats:p><jats:p> Total hip replacement without a femoral shortening osteotomy proved to be a safe and effective surgical treatment for high dislocated hips. <\/jats:p>","DOI":"10.1302\/0301-620x.93b9.25914","type":"journal-article","created":{"date-parts":[[2011,9,12]],"date-time":"2011-09-12T17:42:08Z","timestamp":1315849328000},"page":"1189-1193","source":"Crossref","is-referenced-by-count":20,"title":["Total hip replacement for high dislocated hips without femoral shortening osteotomy"],"prefix":"10.1302","volume":"93-B","author":[{"given":"X.","family":"Zhao","sequence":"first","affiliation":[{"name":"Ninth People\u2019s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Key Laboratory of Orthopaedic Implant, 639 Zhizaoju Road, Shanghai 200011, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Z.-A.","family":"Zhu","sequence":"additional","affiliation":[{"name":"Ninth People\u2019s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Key Laboratory of Orthopaedic Implant, 639 Zhizaoju Road, Shanghai 200011, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.-Z.","family":"Xie","sequence":"additional","affiliation":[{"name":"Ninth People\u2019s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Key Laboratory of Orthopaedic Implant, 639 Zhizaoju Road, Shanghai 200011, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Yu","sequence":"additional","affiliation":[{"name":"Ninth People\u2019s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Key Laboratory of Orthopaedic Implant, 639 Zhizaoju Road, Shanghai 200011, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.-G.","family":"Yu","sequence":"additional","affiliation":[{"name":"Ninth People\u2019s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Key Laboratory of Orthopaedic Implant, 639 Zhizaoju Road, Shanghai 200011, China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B7.24114"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-008-0683-z"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200209000-00005"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2009.02.023"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Eskelinen A, Helenius I, Remes V, et al. 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