The Journal of Bone and Joint Surgery, Vol 62, Issue 6 928-932, Copyright © 1980 by Journal of Bone and Joint Surgery, Inc
The hip-shelf procedure. A long-term evaluation
RE White and FC Sherman
Renewed interest in the hip-shelf procedure as a solution to the dysplastic
acetabulum in the older child stimulated an evaluation of the long-term
results in an effort to clarify the role of this procedure. Only patients
with a minimum of ten years of follow-up were evaluated in the study. The
average follow-up for the entire series of twenty-nine hips in twenty-seven
patients was twenty-two years and ten months. At evaluation, pain was
present in fifteen hips, a limp was present in twenty-five, and
degenerative changes were present in twenty hips. Complications occurred in
twenty-one hips and additional operative procedures were required in
fourteen hips. Twenty-one of the twenty-nine hips were evaluated by us,
with an average follow-up of twenty-five years and eight months. One hip
was rated as excellent; eight, as satisfactory; and twelve, as poor.
Although the hip-shelf procedure has been described as a safe,
conservative, and reliable approach to the problem of a dysplastic
acetabulum, our long-term results suggest a more cautious view of the use
of this procedure. We recommend consideration of other stabilizing
procedures for the dysplastic acetabulum.
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