(Full text is available at http://www.manu.edu.mk/prilozi). BACKGROUND: The aim of this study is to affirm the importance of operative treatment of severe @entity570 through analysis of the results of implantation of total cementless endoprothesis in @entity1 with DDH Crowe types III and IV. @entity1 AND METHODS: This retrospective study involved 28 @entity1 (30 hips) with @entity570 , in whom an implantation of cementless total hip endoprothesis was performed at the University Clinic for Orthopaedic Surgery in Skopje. In 26 of the @entity1 the involvement was unilateral and in two @entity1 it was bilateral. The inclusion criterion was radiographically proved severe @entity572 Crowe types III and IV. Twenty-one of the @entity1 were female and 7 male, and age distribution was in an interval from 30 to 65 years. The ingrowth of the implant was evaluated using the clinical method, native radiographs and radioisotopic examination with Tc99m. The follow-up period lasted 5 years, and the results were evaluated using the Harris hip score system. RESULTS: 19 of the @entity1 presented an excellent result of the operative treatment, there were 8 good results with persistent local @entity158 6 months postoperatively, in one case a surgical revision and reimplantation of the acetabular cup was performed, while one @entity1 underwent a surgical revision and reimplantation of the femoral stem and in another @entity1 there was nonunion at the place of the subtrochanteric osteotomy. Full weight-bearing without the use of crutches was achieved 3 months postoperatively, and no serious @entity260 were registered in our @entity1 . DISCUSSION AND CONCLUSIONS: In the majority of cases in whom a total hip replacement with cementless endoprothesis is performed because of @entity570 , a sufficient primary fixation both of the acetabular and the femoral component is achieved, unless one-third of the acetabular cup is left uncovered with bone stock. The problems of decreased muscle strength and limping are usually solved by means of physical therapy in a time period of 45 months. Key words: @entity572 , Crowe Classification, @entity572 , Harris Hip Score.

Analysis of the results of implantation of total hip endoprothesis in severe XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PATIENTS'] @entity260 :: ('MESH:D011183', 'Disease') :: ['early postoperative complications'] @entity572 :: ('MESH:D006617', 'Disease') :: ['Cementless Total Hip Replacement', 'Developmental Dysplasia of the Hip', 'hip dysplasia'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity570 :: ('MESH:D015207', 'Disease') :: ['dysplastic coxarthrosis']
@entity570 :: (MESH:D015207,Disease) :: ['dysplastic coxarthrosis']
