[Role of acetabuloplasty in the treatment of residual cotyloid dysplasia before 4 years of age. Apropos of 14 cases followed over 5 years].
Concerning 14 cases with a follow-up of over 5 years, the authors describe their acetabuloplasty technique which is applied to dysplastic sockets with normal cotyloid cavity anteversion, innominate osteotomy is reserved for cases in which this anteversion is excessive; results have been excellent for 11 cases with adequate lowering of the roof-edge of the cavity and improvement of the C and CE angles as well as satisfactory subsequent bone growth; the result was insufficient in 3 cases in which either the head of the femur was off-centre or deformed by osteochondritis. The age of the patients was between 16 and 37 months. No growth disorder caused by the operation has been observed. Three failures may be related to pre-existing abnormalities in the growing areas of the acetabulum or to ischaemic troubles in the femoral head.
Service d'Orthopédie Infantile, Hôpital de la Timone, Marseille.
M
M
Jacquemier
E
E
Ferreira
J M
JM
Tallet
G
G
Bollini
J M
JM
Bouyala
D000077:Acetabulum / Q000002:abnormalities* / Q000601:surgery; D000367:Age Factors; D001848:Bone Diseases, Developmental / Q000601:surgery*; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D013997:Time Factors
La place de l'acétabuloplastie dans le traitement des dysplasies cotyloïdiennes résiduelles avant l'âge de 4 ans. A propos de 14 cas suivis plus de 5 ans.