| The Chiari pelvic osteotomy for patients with dysplastic hips and poor joint congruency: long-term follow-up. | |
| | |
MedLine Citation:
|
PMID: 21586768 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We report the mid- to long-term (mean 20.3 years, 10 to 32.5) results of the Chiari pelvic osteotomy in patients with pre- to advanced stage osteoarthritis in dysplastic hips. We followed 163 Japanese patients (173 hips) with a mean age at surgery of 20 years (9 to 54). Overall, 124 hips (72%) had satisfactory results, with Harris hip scores ≥ 80. Satisfactory results were seen in 105 of 134 hips with pre- or early osteoarthritis (78%) and 19 of 39 hips with advanced osteoarthritis (49%). A total of 15 hips (9%) underwent a total hip replacement (THR) with a mean interval between osteotomy and THR of 16.4 years. With conversion to THR as the endpoint, the 30-year survival rate was 85.9% (95% confidence interval 82.3 to 89.5). It was 91.8% for patients with pre- or early osteoarthritis and 43.6% for those with advanced osteoarthritis (p < 0.001). We now perform the Chiari osteotomy for patients with dysplastic hips showing poor joint congruency and who prefer a joint-conserving procedure to THR. |
| | |
Authors:
|
H Ito; H Tanino; Y Yamanaka; T Nakamura; A Minami; T Matsuno |
Related Documents
:
|
22268018 - Mini-open versus open decompression and fusion for lumbar degenerative spondylolisthesi... 22266588 - Management of dialysis access-associated "steal" syndrome with dril procedure: challeng... 21962908 - Survivorship of uka in the middle-aged. 22233818 - Is tigecyclin a good choice in the treatment of multidrug-resistant acinetobacter bauma... 9924368 - Correlation between octopus perimetry and fluorescein angiography after strontium-90 pl... 22268018 - Mini-open versus open decompression and fusion for lumbar degenerative spondylolisthesi... |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: The Journal of bone and joint surgery. British volume Volume: 93 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 2011 Jun |
Date Detail:
|
Created Date: 2011-05-18 Completed Date: 2011-07-21 Revised Date: 2011-12-09 |
Medline Journal Info:
|
Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: England |
Other Details:
|
Languages: eng Pagination: 726-31 Citation Subset: AIM; IM |
Affiliation:
|
Department of Orthopaedic Surgery, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa 078-8510, Japan. itohiro@asahikawa-med.ac.jp |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Age Distribution Arthroplasty, Replacement, Hip Child Disease Progression Follow-Up Studies Hip Dislocation, Congenital / complications, radiography, surgery* Humans Middle Aged Osteoarthritis, Hip / etiology, surgery Osteotomy / methods* Pelvic Bones / surgery Survival Analysis Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The Canadian Orthopaedic Trauma Society.
Next Document: Peri-acetabular rotational osteotomy with concomitant hip arthroscopy for treatment of hip dysplasia...