Varus Rotational Osteotomies for Adults with Hip Dysplasia
| Autor: | Anil S. Ranawat, James E. Voos, Robert L. Buly, Paul M. Pellicci, Eduardo A. Salvati |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male Reoperation musculoskeletal diseases medicine.medical_specialty Adolescent Arthroplasty Replacement Hip medicine.medical_treatment Radiography Osteoarthritis Osteotomy Osteoarthritis Hip Arthropathy medicine Hip Dislocation Humans Orthopedics and Sports Medicine Young adult Aged Retrospective Studies Aged 80 and over Hip dysplasia business.industry General Medicine Middle Aged medicine.disease Surgery Treatment Outcome Hip subluxation Orthopedic surgery Female business Follow-Up Studies |
| Zdroj: | Clinical Orthopaedics & Related Research. 457:138-143 |
| ISSN: | 0009-921X |
| DOI: | 10.1097/blo.0b013e31802e7eb1 |
| Popis: | Untreated hip dysplasia predisposes young adults to early arthritis. Varus rotational osteotomies are considered one option to delay or eliminate total hip arthroplasty. We update a report from 1991 by retrospectively reviewing 40 of 48 patients (83.3%) who had 45 varus rotational osteotomies from 1971 to 1986 with a minimum followup of 15 years (mean, 22.6 years; range, 15-34 years). Results were assessed using Hospital for Special Surgery hip scores and radiographic parameters. The average age of the patients at followup was 57.2 years (range, 38-81 years). Fourteen patients (35%) (16 hips) had no additional procedures at 21.2 years followup (range, 15-27 years). The average Hospital for Special Surgery hip score was 33.7 with a Tönnis scale of 1.7 (mild-moderate osteoarthritis). Twenty-six patients (65%) (29 hips) had total hip arthroplasties an average of 9.75 years (range, 2-27 years) after varus rotational osteotomy. As in the initial study, the degree of preoperative osteoarthritis was a predictive value for success of the varus rotational osteotomy. Additionally, younger patients with minimal hip subluxation and osteoarthritis, and a better preoperative Hospital for Special Surgery hip score were predictors of success. |
| Databáze: | OpenAIRE |
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