Effect of Prior Salter or Chiari Osteotomy on THA with Developmental Hip Dysplasia

Tokunaga, Kenji; Aslam, Nadim; Zdero, Rad; Schemitsch, Emil H.; Waddell, James P.

doi:10.1007/s11999-010-1375-8

Cited by 30 publications

(11 citation statements)

References 25 publications

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“…This was a young, predominantly male trauma population with a high degree of migration and, consequently, we were unable to locate the remaining 37 patients. However, this is a common feature of orthopaedic studies [5,25], and we believe our conclusions are still valid given the congruence of current 2-year cohort demographic data with the 1-year cohort from our prior COTS study [1]. Second, 2 years of followup is still considered short-term for most orthopaedic studies.…”

Section: Discussionmentioning

confidence: 62%

Function Plateaus by One Year in Patients With Surgically Treated Displaced Midshaft Clavicle Fractures

Schemitsch

Veillette

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Based on short-term (1 year or less) followup, primary fixation of displaced midshaft clavicle fractures reportedly results in better function compared with that reported for nonoperative methods. Whether better function persists beyond 1 year is unclear. Questions/purposes For displaced midshaft clavicle fractures, do the better mean Disabilities of the Arm, Shoulder and Hand (DASH) and Constant-Murley Shoulder (CSS) scores for operative versus nonoperative treatment at 1 year change between 1-and 2-year followup? Patients and Methods We previously reported 132 patients in a randomized prospective trial at 1 year, and here we report a further followup of 95 of the 132 patients (72%) at 2 years after injury. We evaluated all patients with the DASH and CSS scores. Results The mean DASH and CSS scores were similar at 2 years compared with 1 year postinjury for both the nonoperated and operated patients. The mean scores for the operated patients remained higher than those in the nonoperative group (DASH operative 4

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Section: Discussionmentioning

confidence: 62%

Function Plateaus by One Year in Patients With Surgically Treated Displaced Midshaft Clavicle Fractures

Schemitsch

Veillette

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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“…Several surgical techniques, such as shelf graft, have been suggested for increasing the acetabular coverage in DDH patients. Failed pelvic osteotomies might have compromised the subsequent hip replacement; however, a properly performed PAO procedure or other pelvic osteotomy would contribute to the success of a later hip replacement by making the stability of the acetabular component more reliable [15,17,18], since both LCEA and ACEA postoperatively improved to the normal range in this study. How about the comparison between PAO in middle aged and hip revision in old people?…”

Section: Discussionmentioning

confidence: 76%

Mid-term results of Bernese periacetabular osteotomy for developmental dysplasia of hip in middle aged patients

Zhu

Chen

Cui

et al. 2013

International Orthopaedics (SICOT)

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Purpose To address the question, compared to having hip replacement with latent revision, does Bernese periacetabular osteotomy (PAO) before primary hip replacement occupy a preferable treatment strategy for middle aged (aged 35-54 years) hip dysplasia patients? We assessed the mid-term functional outcome and survivorship of PAO in those patients. Methods Forty-one hips in 36 patients at middle age at the time of surgery (mean age, 39.5 years; range, 35-47 years) were retrospectively identified out of a total PAO cohort of 315 patients. Eleven of the 41 PAO hips also underwent osteochondroplasty at the femoral head-neck junction. Radiographic parameters of lateral centre edge angle, anterior centre edge angle and hip joint medialisation were investigated using the Harris Hip Score (HHS). Results The average follow-up was 5.1 years (range, two to ten years). Radiographic parameters postoperatively improved into the normal range, whereas no progression was found from preoperative Tonnis osteoarthritis score. Forty hips survived at the last follow-up, with HHS Score improved from 63.7 to 88.4. Compared to the sole PAO group, both postoperative alpha angle and range of joint motion improved in the PAO combined with osteochondroplasty group. However, no difference in HHS score was found. Conclusions Good survivorship and improved joint function were identified in middle-aged Chinese patients following PAO with or without osteochondroplasty. We prudently suggest PAO as an alternative strategy for treating DDH in those patients.

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“…The authors concluded that previous periacetabular osteotomy did not alter surgical outcomes based on the improvement in mean Merle d'Aubigné and Postel scores. There are few other studies that compare outcomes of THA with or without other types of pelvic osteotomies (Chiari/Salters/Triple innominate) [6,7]. Therefore, prior to the study of Amanatullah et al, there was insufficient evidence to refute or support a claim that THA after prior periacetabular osteotomy yields similar results to THA without prior periacetabular osteotomy.…”

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confidence: 99%

CORR Insights®: Similar Clinical Outcomes for THAs With and Without Prior Periacetabular Osteotomy

Rathod

2015

Clinical Orthopaedics &Amp; Related Research

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Effect of Prior Salter or Chiari Osteotomy on THA with Developmental Hip Dysplasia

Abstract: Background Controversy exists regarding the outcome of THA after prior pelvic osteotomy.

Cited by 30 publications

References 25 publications

Function Plateaus by One Year in Patients With Surgically Treated Displaced Midshaft Clavicle Fractures

Function Plateaus by One Year in Patients With Surgically Treated Displaced Midshaft Clavicle Fractures

Mid-term results of Bernese periacetabular osteotomy for developmental dysplasia of hip in middle aged patients

CORR Insights®: Similar Clinical Outcomes for THAs With and Without Prior Periacetabular Osteotomy

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