Document Detail


The modified Spitzy shelf operation for patients with dysplasia of the hip. A 24-year follow-up study.
MedLine Citation:
PMID:  12188478     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We evaluated the long-term results of a modified Spitzy shelf operation for secondary osteoarthritis in 119 hips with a mean follow-up of 23.8 years. The mean age of the patients at the time of surgery was 25 years. Preoperative osteoarthritic change, the age at operation and shelf height were important factors in determining the outcome. Of the 61 hips in the pre-stage (three) and the initial stage (58) of osteoarthritis, 53 (87%) had good results, compared with only 30 (51%) of 58 hips with advanced osteoarthritis. Of the latter, 72% of those aged less than 25 years had good results compared with only 40% of patients aged over 25 years. The shelf height in the group with good results was significantly lower than in those with poor results. This operation is a safe procedure and indicated for acetabular dysplasia or subluxation of the hip with early osteoarthritic change in patients aged less than 25 years.
Authors:
H Nishimatsu; H Iida; K Kawanabe; J Tamura; T Nakamura
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  84     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2002 Jul 
Date Detail:
Created Date:  2002-08-21     Completed Date:  2002-09-09     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:  647-52     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University, Japan.
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MeSH Terms
Descriptor/Qualifier:
Acetabulum / pathology
Adolescent
Adult
Child
Child, Preschool
Female
Follow-Up Studies
Hip Dislocation / complications*
Humans
Ilium / surgery
Infant
Male
Middle Aged
Orthopedic Procedures*
Osteoarthritis, Hip / etiology,  surgery*
Osteotomy
Comments/Corrections
Erratum In:
J Bone Joint Surg Br 2002 Sep;84(7):1091

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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