Long-term results of rotational acetabular osteotomy in patients with slight narrowing of the joint space on preoperative radiographic findings

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Abstract

Between 1975 and 1984, we performed rotational acetabular osteotomy in 22 female patients with painful hip dysplasia. At the time of surgery, the patients were in their twenties, and radiographs showed slight narrowing of the joint space. Of these patients, 15 were followed-up for 15 to 22 years (average, 19.8 years) after surgery. The preoperative severity of coxarthrosis in all 15 hips was graded as stage II, according to the classification of coxarthrosis advocated by the Japanese Orthopaedic Association. All 15 patients available for follow-up had had no additional operations on the operated side during the follow-up period. At the time of follow-up, the patients were aged 41 to 48 years (average, 44.3 years). Of the 15 patients, 12 had little or no pain and 14 could walk for more than 30 min without a cane; the severity of coxarthrosis was graded stage I in 3 hips, stage II in 4 hips, stage III in 5 hips, and stage IV in 3 hips. We conclude that rotational acetabular osteotomy is efficacious for patients who have preoperative radiographic findings of slight narrowing of the joint space.

References (21)

  • D.R. Cooperman et al.

    Acetabular dysplasia in the adult

    Clin Orthop

    (1983)
  • L.G. Danielsson

    Incidence and prognosis of coxarthrosis

    Acta Orthop Scand Suppl

    (1964)
  • M. de Kleuver et al.

    Triple osteotomy of the pelvis for acetabular dysplasia. Results at 8 to 15 years

    J Bone Joint Surg Br

    (1997)
  • Y. Hasegawa et al.

    The natural course of osteoarthritis of the hip due to subluxation or acetabular dysplasia

    Arch Orthop Trauma Surg

    (1992)
  • H. Hijikata et al.

    Long-term follow-up study (more than ten years) of rotational acetabular osteotomy for the dysplastic hip: re-examination of the technique and indications

    Orthopaedics International Edition

    (1995)
  • W.K. Massie et al.

    Congenital dislocation of the hip. Part Method of grading results

    J Bone Joint Surg Am

    (1950)
  • M. Matsui et al.

    Early deterioration after modified rotational acetabular osteotomy for the dysplastic hip

    J Bone Joint Surg Br

    (1997)
  • R. Merle d’Aubigné et al.

    Functional results of hip arthroplasty with acrylic prosthesis

    J Bone Joint Surg Am

    (1954)
  • R.W. Morris

    Bilateral procedures in randomised controlled trials

    J Bone Joint Surg Br

    (1993)
  • K. Mose

    Methods of measuring in Legg-Calve-Perthes disease with special regard to the prognosis

    Clin Orthop

    (1980)
There are more references available in the full text version of this article.

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