Ilizarov Hip Reconstruction in Treatment of Unstable Hips in Young Adults - A Case Series

Reddy Lakshmana Sai*
Department of Orthopaedic Surgery, Maulana Azad Medical College, New Delhi, Delhi, India
*Corresponding Author: Reddy Lakshmana Sai, Department of Orthopaedic Surgery, Maulana Azad Medical College, New Delhi, Delhi, India.

 

Published: March 05, 2025

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Abstract  

Hip joint instability in young adults presents a significant orthopedic challenge, often arising from conditions like trauma, septic arthritis, developmental dysplasia, or other childhood hip pathologies. The condition is characterized by pain, limb length discrepancy, Trendelenburg gait, and functional limitations. Treatment aims to restore hip stability, alleviate pain, and correct associated deformities. Conventional approaches such as hip arthrodesis or total hip arthroplasty (THA) have limitations, including loss of range of motion, back pain, or the need for revision surgeries in younger patients.

This study explores the efficacy of Ilizarov hip reconstruction combined with pelvic support osteotomy as an alternative for addressing unstable hips in young adults. The technique includes proximal femoral valgus osteotomy and distal femoral osteotomy for limb length equalization, mechanical axis realignment, and improved hip biomechanics. Two patients with hip instability secondary to septic arthritis underwent this procedure. Preoperative planning included radiological assessments for osteotomy site determination and deformity correction using software-guided SUV systems. Postoperative evaluation involved radiographic follow-ups and assessment of mechanical axis alignment, limb length discrepancy, and functional outcomes.

The results demonstrated significant improvements in limb length, mechanical axis alignment, and Modified Harris Hip Scores, along with elimination of Trendelenburg gait. Complications, including pin site infections and mild residual discrepancies, were effectively managed. Compared to THA, this approach showed reduced revision rates, better biomechanical restoration, and enhanced functional outcomes in young patients.

Ilizarov hip reconstruction emerges as a viable option for managing unstable hips in young adults, providing effective correction of deformities and improved long-term functionality.

Keywords: unstable hips; ilizarov; hip reconstruction; young adults

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