Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
International Orthopaedics
Published in: International Orthopaedics 1/2012

01-01-2012 | Original Paper

Dome osteotomy of the pelvis using a modified trochanteric osteotomy for acetabular dysplasia

Authors: Qin Sheng Hu, Rehan Ul-Haq, Kyung Soon Park, Taek Rim Yoon, Keun Bae Lee

Published in: International Orthopaedics | Issue 1/2012

Login to get access

Abstract

Purpose

Kawamura described his dome osteotomy of the pelvis using a standard trochanteric osteotomy. Here we present results of our modification of Kawamura's dome osteotomy using a modified trochanteric osteotomy.

Methods

We retrospectively analysed 34 out of 36 patients operated upon between 1993 and 2008. We reviewed the mid-term functional and radiological results with a mean follow-up of 67 months. There were 23 females and 11 males with a mean age of 30 years.

Results

The mean Harris hip score improved from 60 to 85 (p < 0.05) at the final follow-up. The functional results were excellent in 12, good in 14, fair in five and poor in three patients. Pain relief was a constant feature in all patients. Seventeen patients reported improvement in their ability to squat and sit cross-legged, 14 patients reported no change while three reported a worsening. Preoperatively 28 patients had an antalgic gait which improved in 14 patients following the surgery. Centre edge angle, acetabular angle, acetabular head index and weight bearing joint space improved significantly. This improved joint space was maintained at the last follow-up. Three cases had converted to total hip arthroplasty at the last follow-up.

Conclusion

The mid-term functional and radiological results of the dome osteotomy using modified trochanteric osteotomy were found to be satisfactory. We conclude that it is a reasonable treatment option for young patients with symptomatic acetabular dysplasia.
Literature
1.
2.
Salter RB (1961) Innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip. J Bone Joint Surg Br 43:518–539
3.
Pemberton PA (1965) Pericapsular osteotomy of the ilium for treatment of congenital subluxation and dislocation of the hip. J Bone Joint Surg Am 47:65–86PubMed
4.
Ganz R, Klaue K, Vinh TS, Mast JW (1988) A new periacetabular osteotomy for the treatment of hip dysplasias. Technique and preliminary results. Clin Orthop Relat Res 232:26–36PubMed
5.
Sutherland DH, Greenfield R (1977) Double innominate osteotomy. J Bone Joint Surg Am 59:1082–1091PubMed
6.
Sugano N, Nishii T, Takao M (2007) The Asian hip. In: Callaghan JJ, Rosenberg AG, Rubash HE (eds) The adult hip, 2nd edn. Lippincott Williams & Wilkins, Philadelphia, pp 1060–1077
7.
Reynolds DA (1986) Chiari innominate osteotomy in adults: technique, indications and contra-indications. J Bone Joint Surg Br 68:45–54PubMed
8.
Vukasinovic Z, Spasovski D, Slavkovic N, Bascarevic Z, Zivkovic Z, Starcevic B (2010) Chiari pelvic osteotomy in the treatment of adolescent hip disorders: possibilities, limitations and complications. Int Orthop. doi:10.​1007/​s00264-010-1126-1
9.
Kawamura B (1959) The transverse pelvic osteotomy. J Jpn Orthop Assoc 32:1181–1188
10.
Kawamura B, Hosono S, Yokogushi K (1982) Dome osteotomy of the pelvis. In: Tachdjian MO (ed) Congenital dislocation of the hip. Churchill Livingstone, New York, pp 609–623
11.
Anwar MM, Sugano N, Matsui M, Takaoka K, Ono K (1993) Dome osteotomy of the pelvis for osteoarthrosis secondary to hip dysplasia. J Bone Joint Surg Br 75:222–227PubMed
12.
Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am 51:737–755PubMed
13.
Wiberg G (1939) Studies on dysplastic acetabula and congenital subluxation of the hip joint: With special reference to the complication of osteoarthrosis. Acta Chir Scand 83:29–37
14.
Sharp IK (1961) Acetabular dysplasia: the acetabular angle. J Bone Joint Surg Br 43:268–272
15.
Heyman CH, Herndon CH (1950) Legg-Perthes disease. J Bone Joint Surg Am 32:767–778PubMed
16.
McCarthy JJ, Fox JS, Gurd AR (1996) Innominate osteotomy in adolescents and adults who have acetabular dysplasia. J Bone Joint Surg Am 78:1455–1461PubMed
17.
Colton CL (1972) Chiari osteotomy for acetabular dysplasia in young subjects. J Bone Joint Surg Br 54:578–589PubMed
18.
Ito H, Matsuno T, Minami A (2003) Comparison of the surgical approaches for a Chiari pelvic osteotomy. J Bone Joint Surg Br 85:204–208PubMedCrossRef
19.
Nakata K, Masuhara K, Sugano N, Sakai T, Haraguchi K, Ohzono K (2001) Dome (modified Chiari) pelvic osteotomy: 10- to 18-year followup study. Clin Orthop Relat Res 389:102–112PubMedCrossRef
20.
Ebraheim NA, Patil V, Liu J, Haman SP (2007) Sliding trochanteric osteotomy in acetabular fractures: a review of 30 cases. Injury 38(10):1177–1182PubMedCrossRef
21.
English TA (1975) The trochanteric approach to the hip for prosthetic replacement. J Bone Joint Surg Am 57:1128–1132PubMed
22.
Glassman A, Engh C, Bobyn J (1987) A technique of extensile exposure for total hip arthroplasty. J Arthroplasty 2:11–21PubMedCrossRef
23.
Hogh J, Macnicol ME (1987) The Chiari pelvic osteotomy. A long-term review of clinical and radiographic results. J Bone Joint Surg Br 69:365–373PubMed
24.
Betz RR, Kumar SJ, Palmer CT, MacEwen GD (1988) Chiari pelvic osteotomy in children and young adults. J Bone Joint Surg Am 70:182–191PubMed
25.
De Waal Malefijt MC, Hoogland T, Nielsen HK (1982) Chiari osteotomy in the treatment of congenital dislocation and subluxation of the hip. J Bone Joint Surg Am 64:996–l004PubMed
26.
Matsuno T, Ichioka Y, Kaneda K (1992) Modified Chiari pelvic osteotomy: A long followup study. J Bone Joint Surg Am 74:470–478PubMed
27.
Ohashi H, Hirohashi K, Yamano Y (2000) Factors influencing the outcome of Chiari pelvic osteotomy: a long-term followup. J Bone Joint Surg Br 82:517–525PubMedCrossRef
28.
Azuma T, Matsuno S, Masuda T, Takahashi M, Hasegawa I, Matsuno T (1984) The results of Chiari pelvic osteotomy. In: Ryozo U, Noriya A, Yasuto I, Hiroshi T, Shinichi Y (eds) The hip. Clinical studies and basic research. Excerpta Medica, International Congress Series 634. Elsevier, Amsterdam, pp 95–100
Metadata
Title
Dome osteotomy of the pelvis using a modified trochanteric osteotomy for acetabular dysplasia
Authors
Qin Sheng Hu
Rehan Ul-Haq
Kyung Soon Park
Taek Rim Yoon
Keun Bae Lee
Publication date
01-01-2012
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 1/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-011-1250-6

Other articles of this Issue 1/2012

International Orthopaedics 1/2012 Go to the issue

Original Paper

Influence of total knee arthroplasty on patellar kinematics and contact characteristics

Original Paper

Revision hip arthroplasty using a cementless modular tapered stem

Original Paper

Biphasic bone substitute and fibrin sealant for treatment of benign bone tumours and tumour-like lesions

Original Paper

Comparison of articular cartilage images assessed by high-frequency ultrasound microscope and scanning acoustic microscope

Original Paper

Enhancement of the osseointegration of a polyethylene terephthalate artificial ligament graft in a bone tunnel using 58S bioglass

Original Paper

Impact of close surgical margin on local recurrence and survival in osteosarcoma