[Current role of the osteoplastic shelf in the treatment of sequelae of hip dislocation in adults].
This operation, first described by König at the end of the 19th century, continues to have some indications. This simple operation should be performed with a very precise technique: the new shelf is placed at the rim of the acetabulum on the capsule; the shelf should be solid and well-fitting, making any secondary displacement impossible, even when the patient is walking. The hip should be covered anteriorly and superiorly. The main indication is a dysplastic acetabulum, especially with a vertical roof. The best results are seen after operation on dysplastic hips without osteoarthritis; when osteoarthritis is present, the results are less good. The procedure is generally indicated only in patients younger than 45 years and it is relatively contraindicated in patients over 50 years old. It is very important to discuss the indication for this operation with the patient; it is a prophylactic measure performed on a hip with normal mobility and little pain.
Lemaire
R
R
Service de Chirurgie de l'Appareil Locomoteur, Centre Hospitalier Universitaire de Liège, Belgique.
Gillet
P
P
D000077:Acetabulum / Q000601:surgery*; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010027:Osteotomy / Q000379:methods*; D011859:Radiography
Place actuelle de la butée ostéoplastique dans le traitement des séquelles de la maladie luxante chez l'adulte.