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

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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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Acknowledgments

The study was financially supported by National Natural Science Foundation of China (NO. 81171705 and 81101381) and Research Foundation of Shanghai Jiaotong University Medical School (NO. YZ1002).

Conflict of interest

We declare that we have no conflicts of interest in the authorship or publication of this contribution.

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Authors and Affiliations

  1. Medical School, Department of Orthopaedics, Xinhua Hospital Affiliated to Shanghai Jiaotong University, Shanghai, China

    Junfeng Zhu, Xiaodong Chen, Yiming Cui, Chao Shen & Guiquan Cai

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  1. Junfeng Zhu
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  2. Xiaodong Chen
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  3. Yiming Cui
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  4. Chao Shen
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  5. Guiquan Cai
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Correspondence to Xiaodong Chen.

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Zhu, J., Chen, X., Cui, Y. et al. Mid-term results of Bernese periacetabular osteotomy for developmental dysplasia of hip in middle aged patients. International Orthopaedics (SICOT) 37, 589–594 (2013). https://doi.org/10.1007/s00264-013-1790-z

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  • DOI: https://doi.org/10.1007/s00264-013-1790-z

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