TITLE

Periacetabular Osteotomy in Patients Fifty Years of Age or Older

AUTHOR(S)
Teratani, Takeshi; Naito, Masatoshi; Kiyama, Takahiko; Maeyama, Akira
PUB. DATE
January 2010
SOURCE
Journal of Bone & Joint Surgery, American Volume;Jan2010, Vol. 92-A Issue 1, p31
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Periacetabular osteotomy has been established as an effective treatment for early or mild osteoarthritis caused by developmental dysplasia of the hip. However, the optimal method of surgical reconstruction for older patients remains controversial. The purpose of this retrospective study was to evaluate the clinical and radiographic results of a curved periacetabular osteotomy for the treatment of developmental dysplasia of the hip in patients fifty years of age or older. Methods: We evaluated forty-six consecutive hips in forty-two patients fifty years of age or older (the older group) who had developmental dysplasia of the hip and had undergone a curved periacetabular osteotomy between 1995 and 2006 with a minimum two-year follow-up period. The mean age was 54.6 years. We compared the clinical and radiographic results of this cohort with those of fifty hips in forty-four patients who were less than fifty years old (the younger group) and were managed with the same osteotomy. The mean age was 32.3 years. The patients were matched according to sex and Tönnis grade. Radiographic measurements included the center-edge angle, acetabular roof obliquity, acetabular head index, anterior center-edge angle, and head lateralization index. Results: The mean Harris hip score improved from 69.6 points preoperativelyto 90.9 points postoperatively in the older group and from 71.1 points preoperatively to 91.8 points postoperatively in the younger group. There were no significant differences in any of the radiographic measurements between the two groups preoperatively or postoperatively. The Tönnis grades improved in two hips and progressed in three hips in the older group and improved in three hips and progressed in three hips in the younger group. Conclusions: Satisfactory results can be obtained clinically and radiographically after curved periacetabular osteotomy in patients fifty years of age or older with Tönnis grade-1 or 2 osteoarthritis of the hip secondary to developmental dysplasia. Level of Evidence: Prognostic Level II. See Instructions to Authors for a complete description of levels of evidence.
ACCESSION #
48877087

 

Related Articles

  • TREATMENT OF THE DYSPLASTIC ACETABULUM WITH WAGNER SPHERICAL OSTEOTOMY. Schramm, Michael; Hohmann, Dietrich; Radespiel-troger, Martin; Pitto, Rocco Paolo // Journal of Bone & Joint Surgery, American Volume;May2003, Vol. 85-A Issue 5, p808 

    Background: The purpose of this study was to evaluate the long-term clinical and radiographic results of spherical acetabular osteotomy, performed with the surgical technique described by Wagner, in patients with hip dysplasia. Methods: The results of the first twenty-two spherical osteotomies...

  • A retrospective analysis of medial open wedge high tibial osteotomy for varus osteoarthritic knee. Pornrattanamaneewong, Chaturong; Numkanisorn, Surin; Chareancholvanich, Keerati; Harnroongroj, Thossart; Vaishya, Raju // Indian Journal of Orthopaedics;Mar/Apr2013, Vol. 47 Issue 2, p215 

    A letter to the editor is presented in response to the article "A retrospective analysis of medial opening wedge high tibial osteotomy for varus osteoarthritic knee" by Pornrattanamaneewong C and colleagues in the 2012 issue.

  • Postoperative acetabular retroversion causes posterior osteoarthritis of the hip. Takahiko Kiyama; Masatoshi Naito; Kei Shiramizu; Tsuyoshi Shinoda // International Orthopaedics;Jun2009, Vol. 33 Issue 3, p625 

    Abstract  We retrospectively reviewed 68 hips in 62 patients with acetabular dysplasia who underwent curved periacetabular osteotomy. Among the 68 hips, 33 had acetabular retroversion (retroversion group) and 35 had anteversion (control group) preoperatively. All hips were evaluated...

  • Radiological Predictors of Recurrent Primary Spontaneous Pneumothorax Following Non-surgical Management Ganesalingam, Ramanujan; O’Neil, Ross A.; Shadbolt, Bruce; Tharion, John // Heart, Lung & Circulation;Oct2010, Vol. 19 Issue 10, p606 

    Background: Studies to date have not identified any reliable predictors for recurrence of primary spontaneous pneumothorax (PSP) on plain chest radiograph (CXR). The aim of this study was to assess whether abnormalities on CXR at first presentation of PSP can be used to predict recurrence of...

  • Indications for Supramalleolar Osteotomy in Patients with Ankle Osteoarthritis and Varus Deformity. Woo-Chun Lee; Jeong-Seok Moon; Kang Lee; Woo Jin Byun; Sang Hyeong Lee // Journal of Bone & Joint Surgery, American Volume;7/6/2011, Vol. 93-A Issue 13, p1243 

    Background: Osteotomies are reported to be effective for the treatment of most cases of primary and traumatic moderate osteoarthritis of the ankle joint. Because of unsatisfactory results following supramalleolar tibial osteotomy in several of our patients, we investigated the cause of the...

  • Thoracic Multidedector CT Findings in Hemodialysis Patients. Doğan, Ekrem; Kahraman, Hasan; Sayarlıoğlu, Hayriye // European Journal of General Medicine;2011, Vol. 8 Issue 1, p13 

    Aim: Uremia is often associated with a large array of thoracic complications. Radiological examinations have great importance in diagnosis of thoracic diseases. The main focus of this retrospective study was to document the multidedector computed tomography (MDCT) findings involving thoracic...

  • Do Fluoroscopy and Postoperative Radiographs Correlate for Periacetabular Osteotomy Corrections? Lehmann, Charles; Nepple, Jeffrey; Baca, Geneva; Schoenecker, Perry; Clohisy, John // Clinical Orthopaedics & Related Research;Dec2012, Vol. 470 Issue 12, p3508 

    Background: The Bernese periacetabular osteotomy (PAO) can relieve pain and restore function in patients with symptomatic acetabular dysplasia. Accurate acetabular correction is fundamental to achieving these clinical goals and presumably enhancing survivorship of the reconstruction. Fluoroscopy...

  • Coxa Profunda: Is the Deep Acetabulum Overcovered? Anderson, Lucas; Kapron, Ashley; Aoki, Stephen; Peters, Christopher // Clinical Orthopaedics & Related Research;Dec2012, Vol. 470 Issue 12, p3375 

    Background: Coxa profunda, or a deep acetabular socket, is often used to diagnose pincer femoroacetabular impingement (FAI). Radiographically, coxa profunda is the finding of an acetabular fossa medial to the ilioischial line. However, the relative position of the acetabular fossa to the pelvis...

  • Functional outcome after high tibial osteotomy: A study using individual goal achievement as the primary outcome variable. Oberg, Ulrika; Oberg, Tommy // Journal of Rehabilitation Research & Development;Sep/Oct2000, Vol. 37 Issue 5, p501 

    Abstract--Functional outcome after high tibial osteotomy (HTO) was evaluated with respect to both improvement and goal achievement. Fifty-seven subjects, 32 men and 25 women, with a mean age of 55 years were examined with the Functional Assessment System (FAS) 6 and 12 months after surgery. The...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics