Long-Term Outcomes of Eccentric Rotational Acetabular Osteotomy Combined With Femoral Osteotomy for Hip Dysplasia.

Abstract

BACKGROUND:

This study aimed at investigating the clinical outcomes of eccentric rotational acetabular osteotomy (ERAO) combined with intertrochanteric valgus osteotomy (ITVO) over a period of more than 10 years.

METHODS:

This is a case-control study of 39 patients (40 hips) who underwent ERAO combined with ITVO for hip dysplasia (ITVO group). Patients were matched for age, sex, follow-up period, and preoperative joint stage to 78 patients (80 hips) who underwent ERAO alone (ERAO group). We compared the clinical and radiographic outcomes and the survival rates between the groups.

RESULTS:

The Harris Hip Score at the final follow-up was significantly lower in the ITVO group than in the ERAO group. The postoperative center edge angle, acetabular head index, and minimum joint space were significantly smaller in the ITVO group than in the ERAO group. The survival rates for the conversion to total hip arthroplasty end point were not significantly different between groups. However, survival rates for the Harris Hip Score < 80 end point were significantly poorer in the ITVO group than in the ERAO group.

CONCLUSION:

The long-term results of ERAO combined with ITVO were not satisfactory from a hip function perspective. ERAO combined with ITVO should be indicated in only young active patients with pre-osteoarthritis and initial stages of osteoarthritis.

• Authors: Yusuke Osawa, Yukiharu Hasegawa, Taisuke Seki
• Journal: The Journal of arthroplasty (J Arthroplasty) Vol. 35 Issue 1 Pg. 17-22 (01 2020) ISSN: 1532-8406 [Electronic] United States
• PMID: 31500914 (Publication Type: Journal Article)
• Copyright: Copyright © 2019 Elsevier Inc. All rights reserved.

Topics

• Acetabulum (diagnostic imaging, surgery)
• Case-Control Studies
• Follow-Up Studies
• Hip Dislocation (etiology, surgery)
• Hip Dislocation, Congenital (diagnostic imaging, surgery)
• Humans
• Osteoarthritis, Hip (surgery)
• Osteotomy
• Retrospective Studies
• Treatment Outcome