The Down Syndrome Patient and Total Hip Arthroplasty

摘要

Patients who have Down syndrome are prone to intellectual disability and musculoskeletal disorders. With improvements in health care, and, subsequently, increased life expectancy of Down syndrome patients, the incidence of symptomatic coxarthrosis and disabling hip pain has increased. Total hip arthroplasty has been suggested as a reliable treatment for these conditions. Orthopedic surgeons may be reluctant to perform total hip arthroplasty in these patients owing to potential noncompliance and anesthetic challenges associated with possible cardiac anomalies and cervical spine instability. In this manuscript, we will describe a modified trochanteric slide approach when performing total hip arthroplasty in patients with Down syndrome.