TITLE

Triple pelvic osteotomy as treatment for osteoarthritis secondary to developmental dysplasia of the hip

AUTHOR(S)
Janssen, Dirk; Kalchschmidt, Klaus; Katthagen, Bernd-Dietrich
PUB. DATE
December 2009
SOURCE
International Orthopaedics;Dec2009, Vol. 33 Issue 6, p1555
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Joint-preserving osteotomies are an established treatment for adult hip pain secondary to developmental dysplasia of the hip. However, their value for advanced osteoarthritis is unclear. Therefore this study addresses the question of long-term results of triple pelvic osteotomy in patients with second grade osteoarthritis. Thirty-two patients with second grade osteoarthritis secondary to developmental dysplasia of the hip before triple pelvic osteotomy were clinically and radiographically assessed 11.5 years postoperatively. Five patients required conversion to total hip replacement. Kaplan-Meier survivorship analysis predicted a survival rate of 85.3%. The mean Harris hip score increased significantly with more than 56% good or very good results. A preoperative BMI > 25 and Harris hip score < 70 resulted in worse outcome or early conversion into total hip arthroplasty. The results indicate that developmental dysplasia of the hip even in second grade osteoarthritis can be treated with triple pelvic osteotomy.
ACCESSION #
84658662

 

Related Articles

  • Hidden Intrapelvic Granulomatous Lesions Associated with Total Hip Arthroplasty. Hisatome, Takashi; Yasunaga, Yuji; Ikuta, Yoshikazu; Takahashi, Kazuhiro // Journal of Bone & Joint Surgery, American Volume;Apr2003, Vol. 85-A Issue 4, p708 

    Reports on case studies of two patients with a hidden intrapelvic granulomatous lesion associated with a total hip arthroplasty. Diagnosis of osteoarthritis in one patient; Revision of the acetabular cup; Development of coxalgia on the left side in the second patient; Invasion of the space...

  • Cam-type deformities linked to MRI detected hip damage in asymptomatic young men.  // Biomedical Market Newsletter;9/12/2011, Vol. 21, p90 

    The article reports on a study which found out that hip impingement poses risks to patients having osteoarthritis of the hip due to presence of an underlying deformity known as cam impingement, which can be associated to hip damage even without arthritis symptoms.

  • Acetabular component position of the noncemented total hip endoprosthesis after previous Chiari pelvic osteotomy. Slavkovic, Nemanja; Vukasinovic, Zoran; Seslija, Igor; Bukumiric, Zoran; Bascarevic, Zoran; Apostolovic, Milan; Spasovski, Dusko; Aleksandric, Dejan // HealthMed;2013, Vol. 7 Issue 7, p2080 

    Introduction: The aim of the study was to determine the validity of acetabular component position of the noncemented total hip endoprosthesis after Chiari pelvic osteotomy. Material and methods: The study involved 75 patients operated on at the Institute of Orthopedic Surgery "Banjica" in the...

  • Valgus intertrochanteric osteotomy for coxa vara of Bucholz-Ogden Types II and III in patients older than 30 years. Bartoníček, Jan; Vávra, Jaroslav // Archives of Orthopaedic & Trauma Surgery;Sep2011, Vol. 131 Issue 9, p1211 

    Background: Ischemic necrosis of the proximal femur resulting in coxa vara is a severe iatrogenous complication of the treatment of developmental dysplasia of the hip (DDH). Severe relative overgrowth of the greater trochanter and reduction of the neck result in insufficiency of hip abductors....

  • Study explores link between total hip and knee arthroplasty and sexual health. Buddie, Renee Blisard // Orthopedics Today;Sep2012, Vol. 32 Issue 9, p22 

    The article reports a study which revealed that total hip and knee arthroplasty improved sexual self-image and activity in patients with degenerative osteoarthritis which impacted their sexuality.

  • Modular Cementless Total Hip Arthroplasty for Hip Infection Sequelae. Seung-Jae Lim; Youn-Soo Park // Orthopedics;Sep2005 Supplement, Vol. 28, ps1063 

    Childhood hip infection may produce significant anatomical deformations leading to the premature onset of secondary osteoarthritis. Total hip arthroplasty (THA)in these patient populations can be technically challenging and has been associated with high complication rates. This article reports...

  • Cirugía artroscópica de la cadera. Indicaciones y aspectos técnicos del procedimiento. Ilizaliturri-Sánchez, Víctor M.; Ilizaliturri-Valverde, Víctor M.; Valero González, Fernando S.; Chaidez Rosales, Pedro; Aguilera Zepeda, José M. // Acta Ortopedica Mexicana;ene/feb2003, Vol. 17 Issue 1, p44 

    Hip disease has a high social impact because it affects a big number of patients, it is highly limitant and the treatment is expensive. Hip arthroscopy is a useful minimally invasive procedure that helps better understand the origin of hip pathology and has the potential of treating it before...

  • Distribution of hip pain in osteoarthritis patients secondary to developmental dysplasia of the hip. Nakamura, Junichi; Oinuma, Kazuhiro; Ohtori, Seiji; Watanabe, Atsuya; Shigemura, Tomonori; Sasho, Takahisa; Saito, Masahiko; Suzuki, Masahiko; Takahashi, Kazuhisa; Kishida, Shunji // Modern Rheumatology (Springer Science & Business Media B.V.);Jan2013, Vol. 23 Issue 1, p119 

    Objectives: Our aim was to clarify the distribution of hip pain in patients with osteoarthritis of the hip secondary to developmental dysplasia of the hip (DDH). Methods: We retrospectively studied 443 hips in 369 patients with osteoarthritis secondary to DDH; mean age was 61 years, and...

  • Do hip OA patients referred to orthopedic surgeons by general practitioners and rheumatologists differ? Samson, Maxime; Maillefert, Jean-Francis; Roy, Carine; Cadet, Christian; Ravaud, Philippe // Clinical Rheumatology;Sep2012, Vol. 31 Issue 9, p1301 

    There is no consensus regarding indications for total hip arthroplasty (THA) in hip osteoarthritis (OA). Patients can be referred to surgeons either by a general practitioner (GP) or a rheumatologist. The aim of this study was to determine whether patients referred to orthopedic surgeons by GP...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

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

Try another library?
Sign out of this library

Other Topics