Total Hip Arthroplasty after Previous Acetabular Osteotomy: Comparison of Three Types of Acetabular Osteotomy

Tamaki, Toru; Oinuma, Kazuhiro; Miura, Yoko; Shiratsuchi, Hideaki

doi:10.1016/j.arth.2015.07.018

Cited by 23 publications

(7 citation statements)

References 30 publications

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“…The adhesion of soft tissue around the joint prevents easy access to the hip joint; moreover, failed periacetabular osteotomy is sometimes related to a large bone defect. 30 In this study, temporal femoral nerve palsy was observed in 1 patient who had undergone acetabular osteotomy via the Smith-Petersen approach. We speculate that adhesion of the soft tissue around the femoral nerve caused poor mobility of the nerve and that the nerve could be easily bruised by a surgical procedure such as compression, passive movement of the hip joint, and leg lengthening.…”

Section: Discussionmentioning

confidence: 67%

Radiographic factors to predict operation time of direct anterior total hip arthroplasty for dysplastic hips

et al. 2019

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Background: This study aimed to identify radiographic factors that could predict surgical difficulty in direct anterior total hip arthroplasty (THA) for dysplastic hips. Patients and Methods: The clinical records of 160 patients (204 hips) who underwent primary THA for the treatment of developmental dysplasia of the hip were retrospectively investigated. All THAs were performed through a direct anterior approach by a single surgeon. A multiple regression analysis was developed to identify the independent predictor of operation time, including variables such as age, sex, height, body mass index (BMI), the use of bone cement, previous hip surgery, and radiographic references, including the pelvic horizontal to vertical ratio, the extent of proximal and horizontal migration of the femoral head, flatness of the femoral head, and the vertical distance between the tips of the greater trochanter and the femoral head. Results: A multiple regression analysis revealed that as radiographic factors, proximal migration of the femoral head, and lower position of the femoral head related to the greater trochanter were significantly associated with longer operation time. In addition, our results revealed that younger age, male sex, height, high BMI, cement use, and previous hip surgery were also significantly associated with longer operation time. Conclusions: Our findings indicate that proximal migration of the femoral head and high-riding greater trochanter are isolated radiographic predictors of the longer operation time of direct anterior THA for dysplastic hips.

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Section: Discussionmentioning

confidence: 67%

Radiographic factors to predict operation time of direct anterior total hip arthroplasty for dysplastic hips

et al. 2019

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“…Several types of periacetabular osteotomy (PAO) have been developed to treat symptomatic acetabular dysplasia, including RAO, transposition osteotomy of the acetabulum, Bernese PAO, curved PAO, and University of Colorado PAO. There are several reports that THA after PAO demonstrates the following characteristics: large osteophytes, acetabular sclerosis, and acetabular wall defects [ 9 , 10 , 11 , 12 ]. The cause of bone defect in this case was considered to be due to the chisel cutting into the cartilage around the acetabular fossa during the initial RAO and further abduction and retroversion of the osteotomized acetabulum.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Traumatic Hip Dislocation: How Common is it in the Asian Population? A Case Report and Review of Literature

Yasin¹,

Prasad²,

Thakur³

et al. 2023

JOCR

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Introduction: Pediatric hip dislocation is a rare event in the pediatric population. The management involves a timely diagnosis and emergent reduction for successful outcome. Case Report: We present a case of a 2-year-old male patient with a posterior dislocation of hip. The child underwent an emergent closed reduction using Allis maneuver. Subsequently, the child had an uneventful recovery and resumed his functional activity completely. Conclusion: Posterior hip dislocation in a child is an extremely rare entity. The key to management in such a case is to timely diagnose and reduce it. Keywords: Posterior hip dislocation, pediatric, Alli’s maneuver.

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“…As mentioned above, whether a previous RAO can affect clinical outcomes remains unknown, but cup placement is difficult and may affect the operative time and radiographic evaluation. In addition, bone defects in the posterior acetabular wall with large osteophytes are factors that complicate THA after RAO when compared with that after Chiari osteotomy and shelf acetabuloplasty [ 10 ]. As shown in these reports, bone defects in the acetabular wall are characteristics of RAO.…”

Section: Discussionmentioning

confidence: 99%

“…Bulk bone grafting is useful for acetabular defects [ 27 , 28 ]; however, dislocation of the grafted bone can occur in bulk bone grafting for bone defects after RAO [ 10 ]. We performed bulk bone grafting for a posterior acetabular bone defect, and the grafted bone survived without any postoperative dislocation.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies on THA after RAO have reported clinical results comparable to those of primary THA, although technical considerations are necessary [ 8 , 9 ]. For example, bone grafting is often required due to bone loss, and subsequent postoperative cup migration has been reported [ 10 ], making THA after RAO more challenging than initial THA or THA after other osteotomies. Acetabular bone coverage is important for cup stability in THA after RAO owing to the tendency for bone defects in the anterior–posterior direction [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

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Total hip arthroplasty after rotational acetabular osteotomy for developmental dysplasia of the hip: a retrospective observational study

Iwata

Shimamura

Senda

et al. 2022

BMC Musculoskelet Disord

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Background Total hip arthroplasty after osteotomy is more technically challenging than primary total hip arthroplasty, especially concerning cup placement. This is attributed to bone morphological abnormalities caused by acetabular bone loss and osteophyte formation. This study aimed to investigate the clinical and radiological outcomes of total hip arthroplasty after rotational acetabular osteotomy compared with those of primary total hip arthroplasty, focusing mainly on acetabular deformity and cup position. Methods The study included 22 hips that had undergone rotational acetabular osteotomy and 22 hips in an age- and sex-matched control group of patients who underwent total hip arthroplasties between 2005 and 2020. We analyzed cup abduction and anteversion; lateral, anterior, and posterior cup center–edge angle; hip joint center position; femoral anteversion angle; and presence of acetabular defect using postoperative radiography and computed tomography. Operative results and clinical evaluations were also analyzed. Results The clinical evaluation showed that the postoperative flexion range of motion was lower in total hip arthroplasty after rotational acetabular osteotomy than in primary total hip arthroplasty, although no significant difference was noted in the postoperative total Japanese Orthopedic Association hip score. The operative time was significantly longer in the rotational acetabular osteotomy group than in the control group, but there was no significant difference in blood loss. The lateral cup center–edge angle was significantly higher and the posterior cup center–edge angle was significantly lower in the total hip arthroplasty after rotational acetabular osteotomy, suggesting a posterior bone defect existed in the acetabulum. In total hip arthroplasty after rotational acetabular osteotomy, the hip joint center was located significantly superior and lateral to the primary total hip arthroplasty. Conclusions In total hip arthroplasty after rotational acetabular osteotomy, the cup tended to be placed in the superior and lateral positions, where there was more bone volume. The deformity of the acetabulum and the high hip center should be considered for treatment success because they may cause cup instability, limited range of motion, and impingement.

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Total Hip Arthroplasty after Previous Acetabular Osteotomy: Comparison of Three Types of Acetabular Osteotomy

Cited by 23 publications

References 30 publications

Radiographic factors to predict operation time of direct anterior total hip arthroplasty for dysplastic hips

Radiographic factors to predict operation time of direct anterior total hip arthroplasty for dysplastic hips

Pediatric Traumatic Hip Dislocation: How Common is it in the Asian Population? A Case Report and Review of Literature

Total hip arthroplasty after rotational acetabular osteotomy for developmental dysplasia of the hip: a retrospective observational study

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