Document Detail


Wagner's spherical periacetabular osteotomy: long term results.
MedLine Citation:
PMID:  19197886     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Residual acetabular dysplasia leads to hip arthritis as a consequence of insufficient femoral head coverage which causes abnormal pressure on the joint cartilage. Spherical periacetabular osteotomy, described by H. Wagner, improves the acetabular coverage of the head. This surgical technique has been performed by the senior author, in Galeazzi Orthopaedic Institute of Milan, Italy since 1979. The purpose of this study is to evaluate the clinical and radiographic results of 14 patients affected by acetabular dysplasia and operated before 1985 by the same surgeon with this technique. The analysis of long term results (follow-up longer than 20 years) has shown that it is possible to achieve good clinical outcomes and to delay the need for total hip arthroplasty if a precise surgical technique is employed and if the correct indications are followed. Obese patients or hips with X-ray signs of osteoarthritis show the worst results in our experience. Our attitude is nowadays: full indication of spherical periacetabular osteotomy in dysplasia of the adolescent, indication in young adult patients only when some symptom is present, very rare indication in arthritis and only in very mild cases in young patients.
Authors:
L Zagra; M Corbella; R Giacometti Ceroni
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hip international : the journal of clinical and experimental research on hip pathology and therapy     Volume:  17 Suppl 5     ISSN:  1724-6067     ISO Abbreviation:  Hip Int     Publication Date:  2007  
Date Detail:
Created Date:  2009-02-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200413     Medline TA:  Hip Int     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  65-71     Citation Subset:  -    
Affiliation:
1st Division, Galeazzi Orthopaedic Institute, IRCCS, Milan - Italy.
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