Triple Osteotomy of the Innominate Bone in Treatment of Developmental Dysplasia of the Hip

Jt, Guille; Forlin, Edilson; Sj, Kumar; Gd, MacEwen

doi:10.1097/01241398-199211000-00003

Cited by 39 publications

(23 citation statements)

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“…If patients with preoperative osteoarthritis are excluded this rises to 71%. These results 5 are similar to those reported by Guille et al for 11 hips.…”

Section: Resultssupporting

confidence: 82%

“…We have carried out a retrospective 5,6 results of these procedures/' Although most authors argue that they reduce the risk of secondary degenerative arthri tis,7 this has never been demonstrated in clinical studies.review of 51 hips after triple osteotomy with an average We have reviewed 51 hips at between 8 and 15 years after follow-up of ten years (8 to 15). Forty-eight hips (94%) were available for review and of these 39 (81%) were improved compared with before operation, 29 (60%) scoring good or excellent.…”

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confidence: 99%

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confidence: 99%

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Triple Osteotomy Of The Pelvis For Acetabular Dysplasia: Results At 8 To 15 Years

Kleuver¹,

Kooijman²,

Pavlov³

et al. 1997

The Journal of Bone and Joint Surgery

109

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Reorientation of the acetabulum may be required in adolescents and young adults with developmental dysplasia of the hip. We have carried out a retrospective 5,6 results of these procedures/' Although most authors argue that they reduce the risk of secondary degenerative arthri tis,7 this has never been demonstrated in clinical studies.review of 51 hips after triple osteotomy with an average We have reviewed 51 hips at between 8 and 15 years after follow-up of ten years (8 to 15). Forty-eight hips (94%) were available for review and of these 39 (81%) were improved compared with before operation, 29 (60%) scoring good or excellent. Radiographic assessment showed improvement of the average centre-edge angle by 19°, the acetabular index by 12° and the anterior triple osteotomy. We have previously described the results after four years.8 PATIENTS AND METHODSBetween 1980 and 1987 we carried out 51 triple acetabular centre-edge angle by 26°. The degree of osteoarthritis osteotomies on 43 patients. There were 38 females and 5 progressed by one grade in ten hips (21%) over a period males; the mean age at operation was 28 years (14 to 46). of ten years.

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“…If patients with preoperative osteoarthritis are excluded this rises to 71%. These results 5 are similar to those reported by Guille et al for 11 hips.…”

Section: Resultssupporting

confidence: 82%

mentioning

confidence: 99%

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Triple Osteotomy Of The Pelvis For Acetabular Dysplasia: Results At 8 To 15 Years

Kleuver¹,

Kooijman²,

Pavlov³

et al. 1997

The Journal of Bone and Joint Surgery

109

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“…Besides Chiari osteotomy, double and triple innominate osteotomy [15][16][17][18] and periacetabular osteotomy 19,20 reported that the severity of OA was reduced in 52% of patients who had undergone periacetabular osteotomy. Our results, with 33.7% of patients developing degenerative change during follow-up, are similar to those of other authors.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing the outcome of Chiari pelvic osteotomy: a long-term follow-up

Ohashi

Hirohashi

Yamano

2000

The Journal of Bone and Joint Surgery. British volume

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We have reviewed 103 of 126 Chiari osteotomies carried out in our department between 1956 and 1987. The cases were graded radiologically, using the Japanese Orthopaedic Association (JOA) system, into a pre/early osteoarthritis (OA) group and an advanced OA group. In the pre/early group there were 86 hips. The mean follow-up was for 17.1 years (4 to 37). Preoperatively, 51 hips had an average JOA clinical score of 78.6 ± 8.4 points and the final mean JOA clinical score was 89.4 ± 12.5 points. Advanced degenerative change developed in 33.7% and one hip required a total replacement arthroplasty (TRA). Chiari osteotomy alone, without accompanying intertrochanteric osteotomy, was performed on 62 hips. For these the median survival time was 26.0 ± 2.5 years, using as the endpoint progression to advanced OA. Differences in survivorship curves related significantly to the severity of the preoperative OA, the shape of the femoral head and the level of osteotomy. In the advanced OA group, we followed up 17 hips for a mean of 16.2 years (1 to 27). Before operation, the mean JOA clinical score in 13 hips was 63.2 ± 7.9 points and the final score 84.0 ± 12.0 points. TRA was eventually carried out on four hips.Our findings suggest that the Chiari osteotomy remains radiologically effective for about 25 years. The procedure is best suited to subluxated hips with round or flat femoral heads and early or no degenerative change. Intra-articular osteotomy can lead to osteonecrosis, and should be avoided. In hips with advanced OA, the Chiari procedure creates an acetabulum which facilitates later TRA, and may delay the need for this procedure in younger patients.

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“…In a follow-up study with a more homogeneous patient cohort at our institution, a good clinical result without progression of osteoarthritis was achieved in 90% of the patients at a minimum ten-year follow-up interval 25 . Follow-up studies that have shown survivorship of up to 100% typically have involved a nonconsecutive series of patients 29 , exclusive of patients with previous surgical procedures on the hip 30 , low numbers of patients [29][30][31] , or a substantial percentage of patients lost to follow-up 30 . The natural history of hip dysplasia is not as good 32 .…”

Section: Review Of the Literaturementioning

confidence: 99%

Diagnosis and Management of Developmental Dysplasia of the Hip from Triradiate Closure Through Young Adulthood

Siebenrock

Steppacher

Albers

et al. 2013

The Journal of Bone and Joint Surgery

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Triple Osteotomy of the Innominate Bone in Treatment of Developmental Dysplasia of the Hip

Cited by 39 publications

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Triple Osteotomy Of The Pelvis For Acetabular Dysplasia: Results At 8 To 15 Years

Triple Osteotomy Of The Pelvis For Acetabular Dysplasia: Results At 8 To 15 Years

Factors influencing the outcome of Chiari pelvic osteotomy: a long-term follow-up

Diagnosis and Management of Developmental Dysplasia of the Hip from Triradiate Closure Through Young Adulthood

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