Triple osteotomy of the pelvis for acetabular dysplasia

Triple osteotomy of the pelvis for acetabular dysplasia

Reorientation of the acetabulum may be required in adolescents and young adults with developmental dysplasia of the hip. We have carried out a retrospective review of 51 hips after triple osteotomy with an average follow-up of ten years (8 to 15). Forty-eight hips (94%) were available for review and...

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Veröffentlicht in:Journal of bone and joint surgery. British volume 1997-03, Vol.79 (2), p.225
Hauptverfasser: de Kleuver, M, Kooijman, M A P, Pavlov, P W, Veth, R P H
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creator de Kleuver, M
Kooijman, M A P
Pavlov, P W
Veth, R P H
description Reorientation of the acetabulum may be required in adolescents and young adults with developmental dysplasia of the hip. We have carried out a retrospective review of 51 hips after triple osteotomy with an average 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 degrees, the acetabular index by 12 degrees and the anterior centre-edge angle by 26 degrees. The degree of osteoarthritis progressed by one grade in ten hips (21%) over a period of ten years. The satisfactory long-term clinical and radiographic results have encouraged us to continue this treatment for symptomatic acetabular dysplasia in these patients.
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title Triple osteotomy of the pelvis for acetabular dysplasia
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