| Comparison of periacetabular osteotomy and total hip replacement in the same patient: a two- to ten-year follow-up study. | |
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MedLine Citation:
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PMID: 19567851 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We evaluated 31 patients with bilateral dysplastic hips who had undergone periacetabular osteotomy for early (Tönnis grade 0 or 1) or moderate (Tönnis grade 2) osteoarthritis in one hip and total hip replacement for advanced (Tönnis grade 3) osteoarthritis in the other. At a mean follow-up of 5.5 years (2 to 9) after periacetabular osteotomy and 6.7 years (3 to 10) after total hip replacement, there was no difference in the functional outcome in hips undergoing osteotomy for early or moderate osteoarthritis and those with a total hip replacement, as determined by the Merle d'Aubigné and Postel score and the Western Ontario and McMaster Universities osteoarthritis index. More patients preferred the spherical periacetabular osteotomy to total hip replacement (53% vs 23%; p = 0.029). Osteoarthritis secondary to hip dysplasia is often progressive. Given the results, timely correction of dysplasia by periacetabular osteotomy should be considered whenever possible in young patients since this could produce a favourable outcome which is comparable with that of total hip replacement. |
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Authors:
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P-H Hsieh; K-C Huang; P-C Lee; Y-H Chang |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. British volume Volume: 91 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 2009 Jul |
Date Detail:
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Created Date: 2009-07-01 Completed Date: 2009-08-13 Revised Date: 2010-11-10 |
Medline Journal Info:
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Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: England |
Other Details:
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Languages: eng Pagination: 883-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Orthopaedics, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 5, Fu-Hsing Street 333, Kweishian, Taoyuan, Taiwan. hsiehph@adm.cgmh.org.tw |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Arthroplasty, Replacement, Hip / methods Biomechanics Disease Progression Female Follow-Up Studies Hip Dislocation, Congenital / complications, surgery* Humans Male Middle Aged Osteoarthritis, Hip / physiopathology, radiography, surgery* Osteotomy / methods Patient Satisfaction Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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