Chiari pelvic osteotomy in children and young adults.
We conducted a follow-up study of twenty-four patients who had been treated with a Chiari osteotomy at the Alfred I. duPont Institute between 1966 and 1981. The length of follow-up ranged from three to twenty years, and the age at operation ranged from ten to twenty-three years. The indication for the operation was either painful dysplasia or gross instability of the hip. Twelve patients had had congenital dislocation of the hip; six, poliomyelitis; three, cerebral palsy; and three had had another disorder. A good or excellent result was obtained in twenty-one of the twenty-four patients. Preoperative pain and antalgic gait were consistently improved. In twenty-one patients, the osteotomy had to be displaced more than 50 per cent to provide adequate coverage of the femoral head, and bone-grafting was necessary at the site of the osteotomy to prevent problems with healing.
Betz
R R
RR
Alfred I. duPont Institute, Wilmington, Delaware 19899.
Kumar
S J
SJ
Palmer
C T
CT
MacEwen
G D
GD
D000293:Adolescent; D000328:Adult; D002648:Child; D005500:Follow-Up Studies; D005684:Gait; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D010027:Osteotomy / Q000379:methods; D010146:Pain; D010384:Pelvic Bones / Q000601:surgery*; D011051:Poliomyelitis / Q000150:complications; D011183:Postoperative Complications; D011859:Radiography