scholarly journals Isolated varus intertrochanteric osteotomy for hip dysplasia in 52 patients: long-term results

2006 ◽  
Vol 31 (2) ◽  
pp. 193-198 ◽  
Author(s):  
P. Koulouvaris ◽  
K. Stafylas ◽  
C. Aznaoutoglou ◽  
K. Zacharis ◽  
Th. Xenakis
Author(s):  
Hyun Chul Shon ◽  
Woo Sung Park ◽  
Jae-Suk Chang ◽  
Seong-Eun Byun ◽  
Dong-Wook Son ◽  
...  

Orthopedics ◽  
2011 ◽  
Vol 34 (2) ◽  
Author(s):  
Shu Saito ◽  
Takao Ishii ◽  
Sei Mori ◽  
Kunihiro Hosaka ◽  
Naho Nemoto ◽  
...  

2012 ◽  
Vol 36 (6) ◽  
pp. 1123-1128 ◽  
Author(s):  
Christian Merle ◽  
Marcus R. Streit ◽  
Moritz Innmann ◽  
Tobias Gotterbarm ◽  
Peter R. Aldinger

2017 ◽  
Vol 37 (6) ◽  
pp. 409-415 ◽  
Author(s):  
Giovanni Trisolino ◽  
Gherardo Pagliazzi ◽  
Giovanni L. Di Gennaro ◽  
Stefano Stilli

1998 ◽  
Vol 117 (4-5) ◽  
pp. 222-227 ◽  
Author(s):  
H. H. Mellerowicz ◽  
J. Matussek ◽  
C. Baum

2021 ◽  
Vol 27 (3) ◽  
pp. 345-350
Author(s):  
M.P. Teplenky ◽  
◽  
E.V. Oleinikov ◽  
V.S. Bunov ◽  
◽  
...  

Introduction The possibility of gradual closed reduction of hip dislocation in children over 1.5 years old is considered doubtful. Purpose Analysis of long-term results of applying the Ilizarov technique of gradual closed reduction in combination with the reconstruction of the hip joint components. Methods The outcomes of treatment of 62 children (81 joints) with congenital hip dislocation in the follow-up period from 5 to 16 years were studied. The treatment method included closed reduction of the dislocation using the technology proposed by G.A. Ilizarov and subsequent reconstruction of the joint components. The patients are divided into two groups based on their age. The first group included 33 patients (43 joints) under the age of 5 years. The second group consisted of 29 patients (38 joints) aged 5–8 years. Results Closed reduction failed in five cases. The recurrence of dislocation after closed reduction was 5.3 %. The rate of aseptic necrosis after closed reduction was 9.7 %. Good functional outcomes were reported in 87.7 %. They were significantly better in the younger group. The proportion of good anatomical results did not depend on age and was 77 % in general. Poor results were obtained in 8.8 %. Conclusion The anatomical and functional outcomes and the number of complications by using the technique described were comparable to other methods of gradual closed reduction of hip dislocation. But the technique we have described expands the age restrictions for its use.


2015 ◽  
Vol 96 (6) ◽  
pp. 990-994
Author(s):  
A G Gakhramanov ◽  
B S Atilla ◽  
M S Alpaslan ◽  
M N Tokgez ◽  
D M Aksoy

Aim. To analyze the long-term results of treatment of patients with arthrosis and hip dysplasia treated by Ganz osteotomy. Methods. 71 patients operated by Ganz osteotomy in 1995-2010 were examined. A total of 83 joints were operated. Tonnis, Wiberg, Leguesne angles, joint medialization, head coating index were measured. The arthrosis degree was determined radiologically according to Tonnis classification. Patients included 58 women and 13 men. Hip joint status was evaluated using the Harris Hip Score (HHS) system. Results. Ganz osteotomy resulted in radiological parameters improvement: Tonnis angles improved by 65.6%, Wiberg - by 5 times, Lequesne - by 6.7 times. Medialization improved by 18.2%, the coating index - by 40.3%. Radiological arthrosis degree according to Tonnis classification was 0 in 43 joints, 1 - in 4 joints before surgery. After surgery, during examination arthrosis degree was 0 - in 18 joints, 1 - in 38,2 - in 20,3 - in 7 cases. In 21 joints the transition from the 0 to the 1st arthrosis degree, in 4 joints - from 0 to the 2nd degree was registered. In 16 joints transition from the 1st to the 2nd arthrosis degree was registered, in 7 joints - from the 1st to the 3rd degree. As a result of the treatment hip joint functional parameters improvement was found, the HHS rate before the surgery was 62.6 points, after the surgery - 82.8 points. The minor and major complications rate measured up to 23 and 15% respectively. Conclusion. Patients were examined 7.5 years after the surgery in average; in our series, total prostheses after osteotomy was performed in 3 patients (4 joints), in one case, due to postoperative subluxation Schanz osteotomy was performed; it was managed to preserve biological joint in 95.18% of cases.


2019 ◽  
Vol 101-B (4) ◽  
pp. 390-395
Author(s):  
Y. Yasunaga ◽  
R. Tanaka ◽  
K. Mifuji ◽  
T. Shoji ◽  
T. Yamasaki ◽  
...  

Aims The aim of this study was to report the long-term results of rotational acetabular osteotomy (RAO) for symptomatic hip dysplasia in patients aged younger than 21 years at the time of surgery. Patients and Methods We evaluated 31 patients (37 hips) aged younger than 21 years at the time of surgery retrospectively. There were 29 female and two male patients. Their mean age at the time of surgery was 17.4 years (12 to 21). The mean follow-up was 17.9 years (7 to 30). The RAO was combined with a varus or valgus femoral osteotomy or a greater trochanteric displacement in eight hips, as instability or congruence of the hip could not be corrected adequately using RAO alone. Results The mean Merle d’Aubigné clinical score improved significantly from 15.4 to 17.2 (p < 0.0001). The mean centre-edge (CE) angle improved from -2.6° to 26°, the mean acetabular roof angle improved from 3.0° to 5.2°, and the mean head lateralization index improved from 0.68 to 0.62. Progression of radiological osteoarthritis (OA) was seen in seven hips, but no patient underwent total hip arthroplasty. Conclusion RAO is an effective form of correction for a severely dysplastic hip in adolescent and young adult patients. Cite this article: Bone Joint J 2019;101-B:390–395.


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