Top

Archives of Orthopaedic and Trauma Surgery

Published in:

01-07-2017 | Orthopaedic Surgery

Long-term results of rotational acetabular osteotomy for osteonecrosis with collapse of the femoral head in young patients

Authors: Tomonori Baba, Masahiko Nozawa, Yasuhiro Homma, Hironori Ochi, Yu Ozaki, Taiji Watari, Mikio Matsumoto, Kazuo Kaneko

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 7/2017

Abstract

Purpose

The surgical treatment of osteonecrosis with collapse of the femoral head is still controversial. The purpose of this study was to investigate the clinical outcome of rotational acetabular osteotomy by Ninomiya and Tagawa for osteonecrosis of the femoral head in young patients.

Patients and methods

Rotational acetabular osteotomy was performed in 202 consecutive patients between 1995 and 2003. Among them, rotational acetabular osteotomy with osteonecrosis of the femoral head was performed in 31 patients (42 hips). The mean age at the time of surgery was 31.2 years (range 16–45). The mean duration of follow-up was 16.1 years (range 13.1–21 years).

Results

The mean preoperative Japanese Orthopedic Association hip score of 56.8 points improved to a mean of 72.4 points at the final follow-up. The 10-year survival rate with conversion to total hip arthroplasty as an end-point was 91.9%, and the 15-year survival rate was 75.5%, the 20-year survival rate was 67.9%. The conversion to total hip arthroplasty was performed in nine hips. The average time to the conversion to total hip arthroplasty was 12.1 years.

Conclusions

Even though the necrotized range is wide, if normal cartilage remains on the lateral side of the femoral head, it can be utilized for the weight-bearing region by laterally rotating the acetabulum. Since the outcome was favorable, we believe that this is a valuable treatment option for this disease.

Kaushik AP, Das A, Cui Q (2012) Osteonecrosis of the femoral head: an update in year 2012. World J Orthop 3:49–57CrossRefPubMedPubMedCentral

Malizos KN, Karantanas AH, Varitimidis SE, Dailiana ZH, Bargiotas K, Maris T (2007) Osteonecrosis of the femoral head: etiology, imaging and treatment. Eur J Radiol 63:16–28CrossRefPubMed

Helbig L, Simank HG, Kroeber M, Schmidmaier G, Grützner PA, Guehring T (2012) Core decompression combined with implantation of a demineralised bone matrix for non-traumatic osteonecrosis of the femoral head. Arch Orthop Trauma Surg 132:1095–1103CrossRefPubMed

Urbaniak JR, Coogan PG, Gunneson EB, Nunley JA (1995) Treatment of osteonecrosis of the femoral head with free vascularized fibular grafting. A long-term follow-up study of one hundred and three hips. J Bone Joint Surg 77-A:681–694CrossRef

Ito H, Tanino H, Yamanaka Y, Nakamura T, Takahashi D, Minami A, Matsuno T (2012) Long-term results of conventional varus half-wedge proximal femoral osteotomy for the treatment of osteonecrosis of the femoral head. J Bone Joint Surg 94-B:308–314CrossRef

Atsumi T, Kajiwara T, Hiranuma Y, Tamaki S, Asakura Y (2006) Posterior rotational osteotomy for nontraumatic osteonecrosis with extensive collapsed lesions in young patients. J Bone Joint Surg 88(Suppl A):42–47PubMed

Hernigou P, Daltro G, Filippini P, Mukasa MM, Manicom O (2008) Percutaneous implantation of autologous bone marrow osteoprogenitor cells as treatment of bone avascular necrosis related to sickle cell disease. Open Orthop J 25:62–65CrossRef

Moriya M, Uchiyama K, Takahira N, Fukushima K, Yamamoto T, Hoshi K, Itoman M, Takaso M (2012) Evaluation of bipolar hemiarthroplasty for the treatment of steroid-induced osteonecrosis of the femoral head. Int Orthop 36:2041–2047CrossRefPubMedPubMedCentral

Johannson HR, Zywiel MG, Marker DR, Jones LC, McGrath MS, Mont MA (2011) Osteonecrosis is not a predictor of poor outcomes in primary total hip arthroplasty: a systematic literature review. Int Orthop 35:465–473CrossRefPubMed

10.

Nozawa M, Enomoto F, Shitoto K, Matsuda K, Maezawa K, Kurosawa H (2005) Rotational acetabular osteotomy for osteonecrosis with collapse of the femoral head in young patients. J Bone Joint Surg 87-A:514–520CrossRef

11.

Steinberg ME, Corces A, Fallon M (1999) Acetabular involvement in osteonecrosis of the femoral head. J Bone Joint Surg 81-A:60–65CrossRef

12.

Kerboul M, Thomine J, Postel M, Merle d’Aubigné R (1974) The conservative surgical treatment of idiopathic aseptic necrosis of the femoral head. J Bone Joint Surg 56-B:291–296

13.

Ninomiya S, Tagawa H (1984) Rotational acetabular osteotomy for the dysplastic hip. J Bone Joint Surg 66-A:430–436CrossRef

14.

Mibe J, Imakiire A, Watanabe T, Fujie T (2005) Results of total hip arthroplasty with bone graft and support ring for protrusion acetabuli in rheumatoid arthritis. J Orthop Sci 10:8–14CrossRefPubMed

15.

Matsumoto T, Kaneuji A, Hiejima Y, Sugiyama H, Akiyama H, Atsumi T, Ishii M, Izumi K, Ichiseki T, Ito H, Okawa T, Ohzono K, Otsuka H, Kishida S, Kobayashi S, Sawaguchi T, Sugano N, Nakajima I, Nakamura S, Hasegawa Y, Fukuda K, Fujii G, Mawatari T, Mori S, Yasunaga Y, Yamaguchi M (2012) Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ): a patient-based evaluation tool for hip-joint disease. The Subcommittee on Hip Disease Evaluation of the Clinical Outcome Committee of the Japanese Orthopaedic Association. J Orthop Sci 17:25–38CrossRefPubMed

16.

Matsumoto M, Baba T, Homma Y, Kobayashi H, Ochi H, Yuasa T, Behrend H, Kaneko K (2015) Validation study of the Forgotten Joint Score-12 as a universal patient-reported outcome measure. Eur J Orthop Surg Traumatol 25:1141–1145CrossRefPubMed

17.

Masuda T, Matsuno T, Hasegawa I, Kanno T, Ichioka Y, Kaneda K (1988) Results of transtrochanteric rotational osteotomy for nontraumatic osteonecrosis of the femoral head. Clin Orthop 228:69–74

18.

Wiberg G (1939) Studies on dysplastic acetabula and congenital subluxation of the hip joint. With special reference to the complication of osteoarthritis. Acta Chir Scand 83:58

19.

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 232:26–36

20.

Salter RB (1961) Inominate osteotomy in the treatment of congenital dislocation and subluxation of the hip. J Bone Joint Surg Br 43:518–539

21.

Kaneuji A, Sugimori T, Ichiseki T, Fukui K, Takahashi E, Matsumoto T (2015) Rotational acetabular osteotomy for osteoarthritis with acetabular dysplasia: Conversion rate to total hip arthroplasty within twenty years and osteoarthritis progression after a minimum of twenty years. J Bone Joint Surg 97-A:726–732CrossRef

22.

Yuasa T, Maezawa K, Nozawa M, Kaneko K (2015) Total hip arthroplasty after previous rotational acetabular osteotomy. Eur J Orthop Surg Traumatol 25:1057–1060CrossRefPubMed

23.

Lai KA, Shen WJ, Yang CY, Shao CJ, Hsu JT, Lin RM (2005) The use of alendronate to prevent early collapse of the femoral head in patients with nontraumatic osteonecrosis. A randomized clinical study. J Bone Joint Surg 87-A:2155–2159

24.

Lee YK, Ha YC, Cho YJ, Suh KT, Kim SY, Won YY, Min BW, Yoon TR, Kim HJ, Koo KH (2015) Does zoledronate prevent femoral head collapse from osteonecrosis? A prospective, randomized, open-label, multicenter study. J Bone Joint Surg 97-A:1142–1148CrossRef

25.

Sugioka Y, Hotokebuchi T, Tsutsui H (1992) Transtrochanteric anterior rotational osteotomy for idiopathic and steroid-induced necrosis of the femoral head. Indications and long-term results. Clin Orthop Relat Res 277:111–120

26.

Grigoris P, Safran M, Brown I, Amstutz HC (1996) Long-term results of transtrochanteric rotational osteotomy for femoral head osteonecrosis. Arch Orthop Trauma Surg 115:127–130CrossRefPubMed

27.

Hiranuma Y, Atsumi T, Kajiwara T, Tamaoki S, Asakura Y (2009) Evaluation of instability after transtrochanteric anterior rotational osteotomy for nontraumatic osteonecrosis of the femoral head. JOrthop Sci 14:535–542CrossRef

Title: Long-term results of rotational acetabular osteotomy for osteonecrosis with collapse of the femoral head in young patients
Authors: Tomonori Baba
Masahiko Nozawa
Yasuhiro Homma
Hironori Ochi
Yu Ozaki
Taiji Watari
Mikio Matsumoto
Kazuo Kaneko
Publication date: 01-07-2017
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 7/2017
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-017-2719-6

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Long-term results of rotational acetabular osteotomy for osteonecrosis with collapse of the femoral head in young patients

Abstract

Purpose

Patients and methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Patients and methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 7/2017

Stability of capsule closure and postoperative anterior knee pain after medial parapatellar approach in TKA

Return to sporting activity after osteochondral autograft transplantation for Freiberg disease in young athletes

Effect and safety of early weight-bearing on the outcome after open-wedge high tibial osteotomy: a systematic review and meta-analysis

Radial nerve injury following elbow external fixator: report of three cases and literature review

The influence of critical shoulder angle on secondary rotator cuff insufficiency following shoulder arthroplasty

The effect of a combined thoracic and soft-tissue trauma on blood flow and tissue formation in fracture healing in rats