The Journal of Bone and Joint Surgery, Vol 77, Issue 1 73-85, Copyright © 1995 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Periacetabular and intertrochanteric osteotomy for the treatment of osteoarthrosis in dysplastic hips

RT Trousdale, A Ekkernkamp, R Ganz and SL Wallrichs
University of Bern, Switzerland.

The results of periacetabular osteotomy, with and without intertrochanteric osteotomy, performed between January 1984 and December 1990, were reviewed for forty-two patients who had osteoarthrosis in a congenitally dysplastic hip. There were eight male and thirty-four female patients. The average age of the patients at the time of the operation was thirty-seven years (range, eleven to fifty-six years). Ten patients had combined periacetabular and intertrochanteric osteotomies. The preoperative severity of the osteoarthrosis, according to the criteria of Tonnis, was grade 1 in fifteen patients, grade 2 in eighteen, and grade 3 in nine. The average duration of follow-up was four years (range, two to eight years). Complications included heterotopic ossification in fourteen patients (33 per cent), non-union of the pubic osteotomy in two patients (5 per cent), and pain related to the hardware that led to its removal in nine patients (21 per cent). There were no major neurovascular complications. One patient had dysesthesias in the area supplied by the lateral femoral cutaneous nerve. Six patients had a subsequent total hip arthroplasty and three patients had an additional intertrochanteric osteotomy. five of the nine patients who had a second major operation had had grade-3 osteoarthrosis before the periacetabular osteotomy. The Harris hip score improved from an average of 62 points (range, 33 to 95 points) preoperatively to an average of 86 points (range, 29 to 100 points) postoperatively (p < 0.0001, paired t test). The result was excellent or good for thirty-two of the thirty-three patients who had had grade-1 or 2 osteoarthrosis. Eight of the nine patients who had had grade-3 osteoarthrosis had a Harris hip score of less than 70 points at the latest follow-up evaluation.
CiteULike    Connotea    Del.icio.us    Technorati    What's this?

This article has been cited by other articles:

				P. E. Beaule, M. O'Neill, and K. Rakhra Acetabular Labral Tears J. Bone Joint Surg. Am., March 1, 2009; 91(3): 701 - 710. [Abstract] [Full Text] [PDF]

				J. C. Clohisy, P. E. Beaule, A. O'Malley, M. R. Safran, and P. Schoenecker AOA Symposium. Hip Disease in the Young Adult: Current Concepts of Etiology and Surgical Treatment J. Bone Joint Surg. Am., October 1, 2008; 90(10): 2267 - 2281. [Full Text] [PDF]

				E. Sharifi, H. Sharifi, S. Morshed, K. Bozic, and M. Diab Cost-Effectiveness Analysis of Periacetabular Osteotomy J. Bone Joint Surg. Am., July 1, 2008; 90(7): 1447 - 1456. [Abstract] [Full Text] [PDF]

				A. Troelsen, B. Elmengaard, and K. Soballe A New Minimally Invasive Transsartorial Approach for Periacetabular Osteotomy J. Bone Joint Surg. Am., March 1, 2008; 90(3): 493 - 498. [Abstract] [Full Text] [PDF]

				J. C. Clohisy, R. M. Nunley, M. C. Curry, and P. L. Schoenecker Periacetabular Osteotomy for the Treatment of Acetabular Dysplasia Associated with Major Aspherical Femoral Head Deformities J. Bone Joint Surg. Am., July 1, 2007; 89(7): 1417 - 1423. [Abstract] [Full Text] [PDF]

				P. E. Beaule, M. J. Le Duff, and E. Zaragoza Quality of Life Following Femoral Head-Neck Osteochondroplasty for Femoroacetabular Impingement J. Bone Joint Surg. Am., April 1, 2007; 89(4): 773 - 779. [Abstract] [Full Text] [PDF]

				C. L. Peters and J. Erickson The Etiology and Treatment of Hip Pain in the Young Adult J. Bone Joint Surg. Am., December 1, 2006; 88(suppl_4): 20 - 26. [Full Text] [PDF]

				Y. Yasunaga, M. Ochi, H. Terayama, R. Tanaka, T. Yamasaki, and Y. Ishii Rotational Acetabular Osteotomy for Advanced Osteoarthritis Secondary to Dysplasia of the Hip J. Bone Joint Surg. Am., September 1, 2006; 88(9): 1915 - 1919. [Abstract] [Full Text] [PDF]

				C. L. Peters, J. A. Erickson, and J. L. Hines Early Results of the Bernese Periacetabular Osteotomy: The Learning Curve at an Academic Medical Center J. Bone Joint Surg. Am., September 1, 2006; 88(9): 1920 - 1926. [Abstract] [Full Text] [PDF]

				T. Cunningham, R. Jessel, D. Zurakowski, M. B. Millis, and Y.-J. Kim Delayed Gadolinium-Enhanced Magnetic Resonance Imaging of Cartilage to Predict Early Failure of Bernese Periacetabular Osteotomy for Hip Dysplasia J. Bone Joint Surg. Am., July 1, 2006; 88(7): 1540 - 1548. [Abstract] [Full Text] [PDF]

				J. C. Clohisy, S. E. Barrett, J. E. Gordon, E. D. Delgado, and P. L. Schoenecker Periacetabular Osteotomy in the Treatment of Severe Acetabular Dysplasia J. Bone Joint Surg. Am., March 1, 2006; 88(1_suppl_1): 65 - 83. [Abstract] [Full Text] [PDF]

				H. A. Rudiger, C. Dora, B. Bode-Lesniewska, and G. U. Exner Extra-Articular Resection of the Hip with a Posterior Column-Preserving Technique for Treatment of an Intra-Articular Malignant Lesion. A Report of Two Cases J. Bone Joint Surg. Am., December 1, 2005; 87(12): 2768 - 2774. [Full Text] [PDF]

				J. C. Clohisy, S. E. Barrett, J. E. Gordon, E. D. Delgado, and P. L. Schoenecker Periacetabular Osteotomy for the Treatment of Severe Acetabular Dysplasia J. Bone Joint Surg. Am., February 1, 2005; 87(2): 254 - 259. [Abstract] [Full Text] [PDF]

				R. F. Santore and S. R. Kantor Intertrochanteric Femoral Osteotomies for Developmental and Posttraumatic Conditions J. Bone Joint Surg. Am., November 1, 2004; 86(11): 2542 - 2553. [Full Text] [PDF]

				P. E. Beaule, E. Zaragoza, and N. Copelan Magnetic Resonance Imaging with Gadolinium Arthrography to Assess Acetabular Cartilage Delamination. A Report of Four Cases J. Bone Joint Surg. Am., October 1, 2004; 86(10): 2294 - 2298. [Full Text] [PDF]

				H. Ito, T. Matsuno, and A. Minami Chiari Pelvic Osteotomy for Advanced Osteoarthritis in Patients with Hip Dysplasia J. Bone Joint Surg. Am., July 1, 2004; 86(7): 1439 - 1445. [Abstract] [Full Text] [PDF]

				J. Deitch, C. T. Mehlman, S. L. Foad, A. Obbehat, and M. Mallory Traumatic Anterior Shoulder Dislocation in Adolescents Am. J. Sports Med., September 1, 2003; 31(5): 758 - 763. [Abstract] [Full Text] [PDF]

				M. Schramm, D. Hohmann, M. Radespiel-Troger, and R. P. Pitto Treatment of the Dysplastic Acetabulum with Wagner Spherical Osteotomy: A Study of Patients Followed for a Minimum of Twenty Years J. Bone Joint Surg. Am., May 1, 2003; 85(5): 808 - 814. [Abstract] [Full Text] [PDF]

				Y. Yasunaga, K. Takahashi, M. Ochi, Y. Ikuta, T. Hisatome, J. Nakashiro, and S. Yamamoto Rotational Acetabular Osteotomy in Patients Forty-six Years of Age or Older: Comparison with Younger Patients J. Bone Joint Surg. Am., January 29, 2003; 85(2): 266 - 272. [Abstract] [Full Text] [PDF]

				J.-Y. Ko, C.-J. Wang, C.-F. J. Lin, and C.-H. Shih Periacetabular Osteotomy Through a Modified Ollier Transtrochanteric Approach for Treatment of Painful Dysplastic Hips J. Bone Joint Surg. Am., September 3, 2002; 84(9): 1594 - 1604. [Abstract] [Full Text] [PDF]

				J. Sanchez-Sotelo, R. T. Trousdale, D. J. Berry, and M. E. Cabanela Surgical Treatment of Developmental Dysplasia of the Hip in Adults: I. Nonarthroplasty Options J. Am. Acad. Ortho. Surg., September 1, 2002; 10(5): 321 - 333. [Abstract] [Full Text] [PDF]

				R. T. Trousdale, M. E. Cabanela, D. J. Berry, and D. E. Wenger Magnetic Resonance Imaging Pelvimetry Before and After a Periacetabular Osteotomy J. Bone Joint Surg. Am., April 1, 2002; 84(4): 552 - 556. [Abstract] [Full Text] [PDF]

				Y. Hasegawa, T. Iwase, S. Kitamura, K.-i. Yamauchi, S. Sakano, and H. Iwata Eccentric Rotational Acetabular Osteotomy for Acetabular Dysplasia : Follow-up of One Hundred and Thirty-two Hips for Five to Ten Years J. Bone Joint Surg. Am., March 1, 2002; 84(3): 404 - 410. [Abstract] [Full Text]

				E. J. Wall, R. Kolata, D. R. Roy, C. T. Mehlman, and A. H. Crawford Endoscopic Pelvic Osteotomy for the Treatment of Hip Dysplasia J. Am. Acad. Ortho. Surg., May 1, 2001; 9(3): 150 - 156. [Abstract] [Full Text] [PDF]

				M. Leunig, K. A. Siebenrock, and R. Ganz Rationale of Periacetabular Osteotomy and Background Work J. Bone Joint Surg. Am., March 1, 2001; 83(3): 438 - 438. [Full Text]

				K. A Siebenrock, M. Leunig, and R. Ganz Periacetabular Osteotomy: the Bernese Experience J. Bone Joint Surg. Am., March 1, 2001; 83(3): 449 - 449. [Full Text]

				N. Köse, M. D. Northmore-Ball, S. R. D'Souza, S. Sadiq, and A. M. R. New Proximal Femoral Osteotomy J. Bone Joint Surg. Am., May 1, 2000; 82(5): 750-a - 750. [Full Text]

				D. TÖNNIS and A. HEINECKE Current Concepts Review - Acetabular and Femoral Anteversion: Relationship with Osteoarthritis of the Hip J. Bone Joint Surg. Am., December 1, 1999; 81(12): 1747 - 70. [Full Text]

				P. Hecht, K. Hayashi, A. J. Cooley, Y. Lu, G. S. Fanton, G. Thabit III, and M. D. Markel The Thermal Effect of Monopolar Radiofrequency Energy on the Properties of Joint Capsule: An In Vivo Histologic Study Using a Sheep Model Am. J. Sports Med., November 1, 1998; 26(6): 808 - 814. [Abstract] [Full Text] [PDF]

				M. G Lequesne and J.-D. Laredo The faux profil (oblique view) of the hip in the standing position. Contribution to the evaluation of osteoarthritis of the adult hip Ann Rheum Dis, November 1, 1998; 57(11): 676 - 681. [Abstract] [Full Text]

				N. Maffulli, J. Fixsen, D. Naudie, R. C. Hamdy, F. Fassier, and M. Duhaime Correspondence J. Bone Joint Surg. Am., October 1, 1998; 80(10): 1552 - 3. [Full Text]

				L. HOVELIUS, B. G. AUGUSTINI, H. FREDIN, O. JOHANSSON, R. NORLIN, and J. THORLING Primary Anterior Dislocation of the Shoulder in Young Patients. A Ten-Year Prospective Study J. Bone Joint Surg. Am., November 1, 1996; 78(11): 1677 - 84. [Abstract] [Full Text]

				R. PERLAU, M. G. WILSON, and R. POSS Isolated Proximal Femoral Osteotomy for Treatment of Residua of Congenital Dysplasia or Idiopathic Osteoarthrosis of the Hip. Five to Ten-Year Results J. Bone Joint Surg. Am., October 1, 1996; 78(10): 1462 - 7. [Abstract] [Full Text]