Is there a place for shelf acetabuloplasty in the management of adult acetabular dysplasia?

Fawzy, Ernest; Mandellos, G; Steiger, Richard de; McLardy-Smith, P.; Benson, M. K. D.; Murray, David

doi:10.1302/0301-620x.87b9.15884

Cited by 40 publications

(50 citation statements)

References 21 publications

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“…The above overview shows that good long-term results of the shelf procedure may be expected in younger patients or patients with minimal or without osteoarthritic changes [10][11][12][24][25][26][27]. This is confirmed by our experience.…”

Section: Discussionsupporting

confidence: 77%

“…Fawzy et al [12] published very good results in a group of 76 hips in 67 patients with a mean age of 33 years (range, 17-60 years) and a mean follow-up of 11 years (range, six-14 years).…”

Section: Discussionmentioning

confidence: 99%

“…Some studies evaluated outcomes in children, adolescents and adults together [10,12,[23][24][25][26][27]. Another problem is the indication of the shelf operation.…”

Section: Discussionmentioning

confidence: 99%

“…Another problem is the indication of the shelf operation. Evaluation of many groups is based primarily on the outcomes in subluxated or dislocated hips, less frequently in acetabular dysplasia [10,12,21,[23][24][25][26][27]. Some of these studies evaluated hips after septic arthritis, neuromuscular diseases, etc.…”

Section: Discussionmentioning

confidence: 99%

“…pelvic and acetabular osteotomies, which are currently preferred [5][6][7][8][9]. Despite a number of positive references [10][11][12][13][14][15], shelf arthroplasty is considered to be merely a salvage procedure [9]. However, our longterm experience in the Bosworth technique of hip shelf arthroplasty is positive.…”

Section: Introductionmentioning

confidence: 99%

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Bosworth hip shelf arthroplasty in adult dysplastic hips: ten to twenty three year results

Bartoníček

Vávra

Chochola

2012

International Orthopaedics (SICOT)

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Purpose Hip shelf arthroplasty is currently considered to be a salvage procedure. The aim of the study is to present outcomes of Bosworth hip shelf arthroplasty in adolescent dysplastic hips with a minimum ten-year follow-up. Methods The basic group comprised 25 hips in 18 patients with the mean age of 31 years (range, 16-52) at the time of operation. Subgroup A included 20 hips that were evaluated prior to operation as spherical, centric hips without osteoarthritic changes (acetabular dysplasia). The heterogeneous subgroup B comprised five hips. Of these, three hips were evaluated as aspheric, without osteoarthritic changes, and two hips as aspheric, with osteoarthritic changes of grade 2 according to Tönnis. In addition, two hips in subgroup B were evaluated as decentred (subluxated), one hip without and one hip with osteoarthritic changes. The mean follow-up was 15 years (range, ten-23). Results In subgroup A, the positive effect of operation had lasted at the time of the final follow-up for ten to 22 years postoperatively (average follow-up 14 years) in 19 hips. Only one female patient, 46 years old at the time of operation, developed hip osteoarthritis within ten years, that was treated by THA. In subgroup B, a lasting positive effect of operation was recorded in two cases at the time of the final follow-up (12 and 15 years). The third female patient with an aspheric and decentred hip developed severe hip osteoarthritis 21 years after shelf procedure that was treated by THA. In two patients who had hip osteoarthritis already before the operation, the positive effect of the shelf procedure survived over 13 and 20 years. Although hip osteoarthritis progressed, THA was performed as late as 15 and 23 years after the shelf procedure. The mean Harris hip score in 21 hips with a still functional hip shelf was 68 (range, 56-82) before and 90 (range, 76-100) after the surgery. Conclusion The best outcomes of Bosworth hip shelf arthroplasty may be expected in a dysplastic spherical centred hip without osteoarthritic changes. In the presence of asphericity, decentration and osteoarthritic changes, neither the effect of the surgery nor its survival can be clearly predicted.

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Section: Discussionsupporting

confidence: 77%

“…Fawzy et al [12] published very good results in a group of 76 hips in 67 patients with a mean age of 33 years (range, 17-60 years) and a mean follow-up of 11 years (range, six-14 years).…”

Section: Discussionmentioning

confidence: 99%

“…Some studies evaluated outcomes in children, adolescents and adults together [10,12,[23][24][25][26][27]. Another problem is the indication of the shelf operation.…”

Section: Discussionmentioning

confidence: 99%