Periacetabular Osteotomy for Treatment of Acetabular Dysplasia through Iliofemoral approach
Journal of the Korean Hip Society
;
: 472-478, 2006.
Article
in Korean
| WPRIM
| ID: wpr-727158
ABSTRACT
PURPOSE:
To evaluate the clinical and radiologic results of periacetabular osteotomy, for treating acetabular dysplasia through iliofemoral approach. MATERIALS ANDMETHODS:
We evaluated the results of 17 periacetabular osteotomies performed in 17 patients (12 female, 4 male). The osteotomies were performed through an iliofemoral approach in 17 hips. The mean age of the patients at the time of surgery was 34.7 years (range 14~61 years). The average follow-up period was 26 months (range 12~48 months). The D'Aubigine and Postel score was used for clinical evaluation. Radiological changes of acetabular head index, the CE angle (lateral and anterior), and the sharp angle were measured, respectively.RESULTS:
Clinically, the mean D'Aubigine and Postel scores improved from 12.7 preoperatively to 15.1 postoperatively. All four radiological measurements improved significantly after surgery (Wilcoxon Rank Sum test p< 0.05). The following complications were noted posterior column fracture in 2 hips and peripheral nerve dysfunction was noted in 5 patients. Of these nerve palsy, lateral femoral cutaneous nerve palsy in 3 patients, 1 patient complained troublesome, transient sciatic nerve palsy and femoral nerve palsy in 1 patient. There were no vascular complications or heterotopic bone formation and conversion to total hip arthroplasty.CONCLUSION:
Periacetabular osteotomy by the iliofemoral approach is an effective surgical treatment for acetabular dysplasia in adults, but should be careful nerve injuries.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteogenesis
/
Osteotomy
/
Paralysis
/
Peripheral Nerves
/
Follow-Up Studies
/
Arthroplasty, Replacement, Hip
/
Sciatic Neuropathy
/
Femoral Nerve
/
Head
/
Hip
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Hip Society
Year:
2006
Type:
Article
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