The Spitzy shelf operation for the dysplastic hip. Retrospective 10 (5-25) year study of 124 cases.
Since 1961 we have used the Spitzy shelf operation combined with a vertical flap osteotomy of the outer cortex of the ilium for early arthrosis secondary to acetabular dysplasia, subluxation, and dislocation. In 124 hips, followed for 10 (5-25) years, clinical improvement was maintained in 67/85 of patients who were operated on under the age of 30 and in 22/39 of patients treated after 30. However, less than half of the hips in the younger group and only one out of ten in the older group were symptom-free.
Hamanishi
C
C
Department of Orthopedics, Kinki University School of Medicine, Osaka, Japan.
Tanaka
S
S
Yamamuro
T
T
D000077:Acetabulum / Q000601:surgery; D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D001178:Arthroplasty / Q000379:methods; D002648:Child; D005260:Female; D006617:Hip Dislocation / Q000150:complications; D006618:Hip Dislocation, Congenital / Q000150:complications; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000502:physiology; D006622:Hip Prosthesis; D006801:Humans; D007085:Ilium / Q000601:surgery; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000209:etiology / Q000601:surgery*; D010027:Osteotomy / Q000379:methods; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies