Isolated Proximal Femoral Osteotomy for Treatment of Residua of Congenital Dysplasia or Idiopathic Osteoarthrosis of the Hip. Five to Ten-Year Results*

Perlau, Robert; Wilson, Michael G.; Poss, Robert

doi:10.2106/00004623-199610000-00002

Cited by 23 publications

(8 citation statements)

References 12 publications

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“…sphericity and established osteoarthritis [5,9,22] but, this same procedure has been shown to result in favourable outcomes in patients with grade I dysplasia, with a spherical femoral head and good range of motion preoperatively [9,10,17]. The results obtained by the varus femoral osteotomy in this study are very encouraging.…”

Section: Survival Functionmentioning

confidence: 55%

“…Better results have been found to occur when a femoral osteotomy was carried out in patients with congenital dysplasia of the hip (CDH) and early osteoarthrotic changes [13,16,17,20]. Hess et al [8] reported the results of 22 patients (33 hips) with CDH treated with combined acetabuloplasty and varus derotation osteotomy after a long follow-up of 26 years (range: 19.7-28.4 years).…”

Section: Survival Functionmentioning

confidence: 99%

“…Of particular interest is that these authors believe that the varus derotation osteotomy was necessary for proper correction of the deformity -even though they themselves had used acetabuloplasty. Perlau et al [17] reported the results of 18 isolated femoral osteotomies (ten varus ) in 17 patients with CDH. The mean follow-up was 6.1 years.…”

Section: Survival Functionmentioning

confidence: 99%

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

Koulouvaris

Stafylas

Aznaoutoglou

et al. 2006

International Orthopaedics (SICOT)

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Great strides have been made in the field of total hip arthroplasty, but the issue of wear and osteolysis continue to be a problem, mostly for young adults. For this population varus rotational osteotomy still remains a viable alternative to total hip arthroplasty. The purpose of this prospective study was to describe the indications, the technique and the functional outcome of an isolated varus femoral osteotomy in 52 patients with hip dysplasia. We obtained very good results with a significant improvement of hip function and pain relief. We conclude that with appropriate selection of the patient the procedure may prevent or postpone the development of secondary osteoarthritis. Résumé De nombreux problèmes ont déjà été étudiés dans le champ de la prothèse totale de hanche, néanmoins, le problème de l'usure et de l'ostéolyse continue à être un problème important chez l'adulte. L'ostéotomie de varisation dérotations reste une alternative acceptable dans le traitement de ces lésions. Le but de cette étude est de réaliser une étude prospective afin de décrire les indications, la technique et le devenir fonctionnel de ces patients. Parmi les 52 patients opérés avec dysplasie cotyloïdienne nous pouvons rapporter de très bons résultats avec une amélioration de la fonction de la hanche et une amélioration des phénomènes douloureux. Après une sélection appropriée des patients ce traitement peut prévenir le développement trop précoce d'une arthrose secondaire à une dysplasie.

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Section: Survival Functionmentioning

confidence: 55%

Section: Survival Functionmentioning

confidence: 99%

Section: Survival Functionmentioning

confidence: 99%

See 1 more Smart Citation

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

Koulouvaris

Stafylas

Aznaoutoglou

et al. 2006

International Orthopaedics (SICOT)

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“…The study group was too small to make any conclusion about whether aetiology of a patient’s degenerative arthritis had any influence on patient outcome. Although the number of patients in the study appears small when compared to study groups describing other conditions or procedures for degenerative hip arthritis in patients younger than 50 years of age, it is similar in size to many papers on proximal femoral osteotomy in the recent literature 7,14,15 …”

Section: Discussionmentioning

confidence: 94%

Proximal femoral osteotomy for the treatment of hip arthritis in young adults

Devane

Coup

Horne

2002

ANZ Journal of Surgery

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“…Total hip arthroplasty (THA) is reliable and achieves stable results in all types of OA of the hip. Some authors 7 have stated that a successful alternative to THA must predictably achieve improved clinical function for ten years to justify its continued use. We have shown that elderly patients achieve good results with joint-preserving operations.…”

Section: -6mentioning

confidence: 99%

Factors influencing joint-preserving operations in the treatment of the late stages of osteoarthritis of the hip

Ohsawa

Inamori

Matsushita

et al. 2000

The Journal of Bone and Joint Surgery. British volume

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B etween November 1983 and December 1992, 136 hips (119 patients) with coxarthritis were operated on using joint-preserving techniques based on the rationale of Pauwels' osteotomy. The criterion for selection was a patient in whom the height of the joint space in the weight-bearing area of the hip was less than 1 mm. The mean age at operation was 48 years and the mean follow-up 109 months (60 to 171). Hips were categorised using Bombelli's classification of osteoarthritis, into atrophic and non-atrophic types. The endpoint was defined as that at which the height of the joint space became less than 1 mm again. The Kaplan-Meier curve showed that the rate of survival of the non-atrophic group was significantly better than that of the atrophic group. Cox's proportional hazard model indicated that the factors influencing the results of joint-preserving operations included Bombelli's classification, postoperative incongruence of the joint and the height of the joint space.

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Isolated Proximal Femoral Osteotomy for Treatment of Residua of Congenital Dysplasia or Idiopathic Osteoarthrosis of the Hip. Five to Ten-Year Results*

Cited by 23 publications

References 12 publications

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

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

Proximal femoral osteotomy for the treatment of hip arthritis in young adults

Factors influencing joint-preserving operations in the treatment of the late stages of osteoarthritis of the hip

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