Document Detail


Combined periacetabular and femoral osteotomies for severe hip deformities.
MedLine Citation:
PMID:  19333669     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Periacetabular osteotomy (PAO) is an effective acetabular reorientation technique for treatment of symptomatic acetabular dysplasia. In hips with severe deformities, an adjunctive femoral osteotomy (PFO) may optimize correction, joint stability, and congruency. We analyzed the clinical and radiographic results of combined PAO/PFO in treating severe hip deformities. Second, we compared the clinical results of patients treated with PAO/PFO with patients treated with isolated PAO for lesser deformities. Twenty-five patients (28 hips) treated with PAO/PFO were reviewed and followed a minimum of 16 months (mean, 44 months). The matched PAO cohort included 25 patients (28 hips). For the PAO/PFO group, the average Harris hip score improved from 60.9 to 86.3. Eighty-nine percent of the patients demonstrated at least a 10-point improvement in the hip score and 75% had a Harris hip score over 80 points. Radiographic evaluation demonstrated consistent deformity correction. The PAO/PFO group had a lower average Harris hip score preoperatively, yet hip function after surgery was comparable between groups. These data indicate combined PAO/PFO is associated with improved hip function in most patients. These clinical results are comparable to those obtained with isolated PAO for lesser hip deformities.
Authors:
John C Clohisy; Lauren C St John; Ryan M Nunley; Amanda L Schutz; Perry L Schoenecker
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2009-03-31
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  467     ISSN:  1528-1132     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-07-29     Completed Date:  2009-08-27     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2221-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, Washington University School of Medicine, One Barnes-Jewish Plaza, Suite 11300 West Pavilion, Campus Box 8233, St Louis, MO 63110, USA. clohisyj@wudosis.wustl.edu
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MeSH Terms
Descriptor/Qualifier:
Acetabulum* / abnormalities,  radiography,  surgery
Adolescent
Adult
Child
Cohort Studies
Female
Femur / surgery*
Hip Dislocation, Congenital / physiopathology,  surgery*
Humans
Male
Osteotomy / methods*
Pain / etiology,  physiopathology
Postoperative Complications
Range of Motion, Articular / physiology
Retrospective Studies
Severity of Illness Index
Young Adult
Grant Support
ID/Acronym/Agency:
UL1 TR000448/TR/NCATS NIH HHS; UL1RR024992/RR/NCRR NIH HHS
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