Document Detail


Mid-term results of Bernese periacetabular osteotomy for developmental dysplasia of hip in middle aged patients.
MedLine Citation:
PMID:  23381611     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To address the question, compared to having hip replacement with latent revision, does Bernese periacetabular osteotomy (PAO) before primary hip replacement occupy a preferable treatment strategy for middle aged (aged 35-54 years) hip dysplasia patients? We assessed the mid-term functional outcome and survivorship of PAO in those patients.
METHODS: Forty-one hips in 36 patients at middle age at the time of surgery (mean age, 39.5 years; range, 35-47 years) were retrospectively identified out of a total PAO cohort of 315 patients. Eleven of the 41 PAO hips also underwent osteochondroplasty at the femoral head-neck junction. Radiographic parameters of lateral centre edge angle, anterior centre edge angle and hip joint medialisation were investigated using the Harris Hip Score (HHS).
RESULTS: The average follow-up was 5.1 years (range, two to ten years). Radiographic parameters postoperatively improved into the normal range, whereas no progression was found from preoperative Tonnis osteoarthritis score. Forty hips survived at the last follow-up, with HHS Score improved from 63.7 to 88.4. Compared to the sole PAO group, both postoperative alpha angle and range of joint motion improved in the PAO combined with osteochondroplasty group. However, no difference in HHS score was found.
CONCLUSIONS: Good survivorship and improved joint function were identified in middle-aged Chinese patients following PAO with or without osteochondroplasty. We prudently suggest PAO as an alternative strategy for treating DDH in those patients.
Authors:
Junfeng Zhu; Xiaodong Chen; Yiming Cui; Chao Shen; Guiquan Cai
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2013-02-05
Journal Detail:
Title:  International orthopaedics     Volume:  37     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-28     Completed Date:  2013-10-18     Revised Date:  2014-04-01    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  589-94     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Acetabulum / radiography,  surgery*
Adult
Arthroplasty, Replacement, Hip / methods
Asian Continental Ancestry Group*
China
Cohort Studies
Female
Follow-Up Studies
Hip Dislocation, Congenital / physiopathology,  radiography,  surgery*
Hip Joint / physiopathology,  radiography,  surgery
Humans
Male
Middle Aged
Osteotomy / methods*
Range of Motion, Articular / physiology
Retrospective Studies
Treatment Outcome
Comments/Corrections

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