29 March 2026 : Clinical Research
Outcomes at 1 Year After Total Hip Arthroplasty Combined With Low Femoral Neck Osteotomy vs Subtrochanteric Osteotomy in 73 Patients With Crowe Type IV Developmental Dysplasia of the Hip: A Retrospective Study
Lilei Song ABCDEFG 1, Chengxiao Li ABCDEFG 1, Zhaolong Wang ABCDEFG 1, Bo Liu ABC 1, Yongqiang Fan CD 1, Junheng Zhang DE 1, Binquan Zhang CD 1, Kun Xiang A 1, Yiding Liu C 1, Mengxuan Yao ABCDEFG 1*, Huijie Li ABCDEFG 1DOI: 10.12659/MSM.951866
Med Sci Monit 2026; 32:e951866
Table 5 Comparison of perioperative outcomes and laboratory changes between subtrochanteric osteotomy (SO) and low femoral neck osteotomy (LRNO) groups.
| Parameter | SO (n=36) | LRNO (n=37) | P value |
|---|---|---|---|
| Operation time (min) | 165.00 (135.00–196.25) | 115.00 (100.00–150.00) | 0.000 |
| Blood loss (mL) | 700.00 (500.00–900.00) | 350.00 (300.00–600.00) | 0.002 |
| Blood transfusion volume (mL) | 250.00 (0.00–400.00) | 0.00 (0.00–0.00) | 0.000 |
| Blood plasma transfusion (mL) | 0.00 (0.00–200.00) | 0.00 (0.00–0.00) | 0.003 |
| Incision length (cm) | 23.00 (21.00–24.25) | 14.00 (12.00–16.00) | 0.000 |
| Δ Albumin (g/L) | 10.72 (7.58–14.42) | 7.32 (3.87–10.30) | 0.000 |
| Δ WBC (×10/L) | 4.11 (3.18–4.67) | 4.11 (2.85–5.74) | 0.736 |
| Δ Hb (g/L) | 28.35 (20.40–37.93) | 19.30 (10.50–25.20) | 0.000 |
| Δ ESR (mm/h) | 60.50 (45.75–73.00) | 46.00 (33.00–76.00) | 0.275 |
| Δ D-dimer (mg/L) | 1.43 (0.93–2.59) | 1.26 (0.46–2.30) | 0.480 |
| WBC – white blood cell count; Hb – hemoglobin; ESR – erythrocyte sedimentation rate; D-dimer – a fibrin degradation product. 1. Operation time, blood loss, blood transfusion volume, blood plasma transfusion, and incision length were directly compared between groups. 2. Laboratory parameters (albumin, WBC, Hb, ESR, D-dimer) were compared using absolute change values (|postoperative-preoperative|). Δ indicates the absolute change from preoperative to postoperative values (|postoperative minus preoperative|). 3. Due to non-normal distribution, data are presented as median (IQR), and between-group comparisons were performed using Wilcoxon rank-sum test. | |||