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International Orthopaedics
Published in: International Orthopaedics 4/2013

01-04-2013 | Original Paper

Mid-term results of Bernese periacetabular osteotomy for developmental dysplasia of hip in middle aged patients

Authors: Junfeng Zhu, Xiaodong Chen, Yiming Cui, Chao Shen, Guiquan Cai

Published in: International Orthopaedics | Issue 4/2013

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Abstract

Purpose

To address the question, compared to having hip replacement with latent revision, does Bernese periacetabular osteotomy (PAO) before primary hip replacement occupy a preferable treatment strategy for middle aged (aged 35–54 years) hip dysplasia patients? We assessed the mid-term functional outcome and survivorship of PAO in those patients.

Methods

Forty-one hips in 36 patients at middle age at the time of surgery (mean age, 39.5 years; range, 35–47 years) were retrospectively identified out of a total PAO cohort of 315 patients. Eleven of the 41 PAO hips also underwent osteochondroplasty at the femoral head-neck junction. Radiographic parameters of lateral centre edge angle, anterior centre edge angle and hip joint medialisation were investigated using the Harris Hip Score (HHS).

Results

The average follow-up was 5.1 years (range, two to ten years). Radiographic parameters postoperatively improved into the normal range, whereas no progression was found from preoperative Tonnis osteoarthritis score. Forty hips survived at the last follow-up, with HHS Score improved from 63.7 to 88.4. Compared to the sole PAO group, both postoperative alpha angle and range of joint motion improved in the PAO combined with osteochondroplasty group. However, no difference in HHS score was found.

Conclusions

Good survivorship and improved joint function were identified in middle-aged Chinese patients following PAO with or without osteochondroplasty. We prudently suggest PAO as an alternative strategy for treating DDH in those patients.
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Metadata
Title
Mid-term results of Bernese periacetabular osteotomy for developmental dysplasia of hip in middle aged patients
Authors
Junfeng Zhu
Xiaodong Chen
Yiming Cui
Chao Shen
Guiquan Cai
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 4/2013
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-013-1790-z

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