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The Journal of Bone and Joint Surgery, Vol 66, Issue 3 430-436, Copyright © 1984 by Journal of Bone and Joint Surgery, Inc
Rotational acetabular osteotomy for the dysplastic hip
S Ninomiya and H Tagawa
A circumacetabular osteotomy of the acetabulum was initially done at the
University of Tokyo Hospital by one of us (H. T.) in 1968. This procedure,
which rotates the acetabulum, was designed to correct a dysplastic
acetabulum in adolescents and adults. The surgical exposure combines both
an anterior and a posterior approach. Between 1974 and 1982 this operation
was performed on 103 patients (120 hips) with acetabular dysplasia, some
showing early degenerative arthritis. The forty-five hips (forty-one
patients) that form the basis of this report were followed for three years
to eight years and ten months (average, four years and six months). Thirty
hips showed only acetabular dysplasia, and fifteen were in the early stage
of degenerative arthritis. The ages of the patients at the time of
operation ranged from eleven to forty-two years, the majority being in the
second or third decade of life. All of the forty-five hips had a
preoperative center-edge angle of 10 degrees or less, but most of them had
a nearly normal value after surgery. In the majority of the hips either
limp or pain with exertion, or both, had disappeared, and a satisfactory
range of motion had been restored.

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