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Clinical Orthopaedics and Related Research®

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01-01-2011 | Clinical Research

Effect of Prior Salter or Chiari Osteotomy on THA with Developmental Hip Dysplasia

Authors: Kenji Tokunaga, MD, Nadim Aslam, MD, FRCSC, Rad Zdero, PhD, Emil H. Schemitsch, MD, FRCSC, James P. Waddell, MD, FRCSC

Published in: Clinical Orthopaedics and Related Research® | Issue 1/2011

Abstract

Background

Controversy exists regarding the outcome of THA after prior pelvic osteotomy.

Questions/purposes

We conducted a retrospective chart and radiographic review to obtain outcome measures for perioperative complications, acetabular and femoral component revisions, Harris hip score, and survivorship and compared these outcomes for patients presenting with developmental dysplasia of the hip treated surgically using THA with and without prior pelvic osteotomy.

Patients and Methods

We performed 103 primary THAs in 87 patients with osteoarthritis secondary to developmental dysplasia of the hip with a minimum 3-year followup. Previous pelvic osteotomy was performed in 52 hips (Salter, 40; Chiari, nine; Salter and Chiari, three), and 51 hips had no previous surgery (control group).

Results

The pelvic osteotomy group did not have higher rates of femoral or acetabular intraoperative fracture or dislocation compared with the control group. The overall revision rate was 28.8% in the pelvic osteotomy group compared with 19.6% in the control group. The revision rate for aseptic loosening was 23.1% in the pelvic osteotomy group compared with 17.6% in the control group. Harris hip scores (range, 20–87) were not compromised, and overall survivorship rates 8 years postoperatively were not different at any time between the pelvic osteotomy (83.3%) and control (88.4%) groups.

Conclusions

Prior pelvic osteotomy did not lead to a higher perioperative complication rate, higher revision rate, compromised Harris hip score, or shortened survivorship in eventual THA in developmental dysplasia of the hip.

Level of Evidence

Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Title: Effect of Prior Salter or Chiari Osteotomy on THA with Developmental Hip Dysplasia
Authors: Kenji Tokunaga, MD
Nadim Aslam, MD, FRCSC
Rad Zdero, PhD
Emil H. Schemitsch, MD, FRCSC
James P. Waddell, MD, FRCSC
Publication date: 01-01-2011
Publisher: Springer-Verlag
Published in: Clinical Orthopaedics and Related Research® / Issue 1/2011
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-010-1375-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Effect of Prior Salter or Chiari Osteotomy on THA with Developmental Hip Dysplasia

Abstract

Background

Questions/purposes

Patients and Methods

Results

Conclusions

Level of Evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Questions/purposes

Patients and Methods

Results

Conclusions

Level of Evidence

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