Document Detail

Comparison of periacetabular osteotomy and total hip replacement in the same patient: a two- to ten-year follow-up study.
MedLine Citation:
PMID:  19567851     Owner:  NLM     Status:  MEDLINE    
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.
P-H Hsieh; K-C Huang; P-C Lee; Y-H Chang
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
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:
Created Date:  2009-07-01     Completed Date:  2009-08-13     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  883-8     Citation Subset:  AIM; IM    
Department of Orthopaedics, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 5, Fu-Hsing Street 333, Kweishian, Taoyuan, Taiwan.
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MeSH Terms
Age Factors
Arthroplasty, Replacement, Hip / methods
Disease Progression
Follow-Up Studies
Hip Dislocation, Congenital / complications,  surgery*
Middle Aged
Osteoarthritis, Hip / physiopathology,  radiography,  surgery*
Osteotomy / methods
Patient Satisfaction
Retrospective Studies

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