Long-term results of Bernese periacetabular osteotomy using a dual approach in hip dysplasia

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 ◽  
...  

2007 ◽  
Vol 17 (5_suppl) ◽  
pp. 65-71 ◽  
Author(s):  
L. Zagra ◽  
M. Corbella ◽  
R. Giacometti Ceroni

2018 ◽  
Vol 02 (04) ◽  
pp. 156-166
Author(s):  
Tai Holland ◽  
Holly Thomas-Aitken ◽  
Jessica Goetz ◽  
Michael Willey

AbstractBorderline hip dysplasia and acetabular retroversion are common radiographic findings in young individuals with and without hip pain. Orthopaedic surgeons should be knowledgeable about the radiographic findings, diagnosis, and appropriate nonsurgical and surgical treatment of these conditions. Borderline hip dysplasia is generally defined by a lateral center edge angle of Wiberg from 20 to 25° (some define as 18–25°) and is a cause of joint microinstability. The degree of soft tissue laxity can have significant implications for joint stability in patients with borderline hip dysplasia. The most common presenting symptoms are groin pain and lateral hip pain. Acetabular retroversion is defined by radiographic findings of crossover sign, ischial spine sign, and posterior wall sign. Individuals with symptomatic retroversion have a clinical presentation consistent with impingement, groin pain with flexion activities, and less commonly lateral hip pain. Physical therapy has been shown to improve symptoms in a subset of individuals with these conditions. There are multiple recent publications about arthroscopic treatment of patients with borderline hip dysplasia. These reports generally find that good short-term outcomes can be expected when using arthroscopic techniques that include labral preservation/repair and capsular plication. There are limited reports of periacetabular osteotomy as a treatment for borderline hip dysplasia. Publications focusing specifically on surgical treatment of acetabular retroversion are also infrequent. Periacetabular osteotomy has been shown to have superior long-term clinical outcomes to surgical hip dislocation with anterior rim trimming in patients with all three radiographic findings of retroversion. Arthroscopic treatment has been shown to have good short-term outcomes. Future work in the areas of borderline hip dysplasia and acetabular retroversion should focus on reporting long-term clinical follow-up of these surgical treatments and using computation techniques as a tool to determine appropriate surgical and nonsurgical treatment for each individual patient.


2011 ◽  
Vol 93 (14) ◽  
pp. 1347-1354 ◽  
Author(s):  
Hiroshi Ito ◽  
Hiromasa Tanino ◽  
Yasuhiro Yamanaka ◽  
Akio Minami ◽  
Takeo Matsuno

2018 ◽  
Vol 12 (4) ◽  
pp. 349-357 ◽  
Author(s):  
M. B. Millis ◽  
M. McClincy

Purpose Discuss current indications, techniques, complications and results of periacetabular osteotomy (PAO) to treat the adolescent and young adult with symptomatic acetabular dysplasia or the rare minimally symptomatic patient with dysplasia with a guarded prognosis without PAO surgery. Methods Review of clinical experience with PAO at our and other high-volume centres. Results At a mean follow-up of 18 years after PAO, more than 75% of hips are preserved. At 30-year follow-up, longest term reported series notes survival of one-third of hips. Conclusion Both middle- and long-term results suggest efficacy of PAO in improving function and prognosis in most symptomatic adolescent and young adult patients with spherically congruous pre-arthritic dysplastic hips.


2009 ◽  
Vol 91 (9) ◽  
pp. 2113-2123 ◽  
Author(s):  
Travis Matheney ◽  
Young-Jo Kim ◽  
David Zurakowski ◽  
Catherine Matero ◽  
Michael Millis

2006 ◽  
Vol 31 (2) ◽  
pp. 193-198 ◽  
Author(s):  
P. Koulouvaris ◽  
K. Stafylas ◽  
C. Aznaoutoglou ◽  
K. Zacharis ◽  
Th. Xenakis

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

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