title: [Correction of architectural defects by femoral osteotomy and/or shelf procedure in the treatment of secondary coxarthrosis in adult].
abstract: One hundred and forty-nine cases of secondary osteoarthritis of the hip have been analysed. Twenty-eight were treated by a simple shelf operation, 60 by a varus upper femoral osteotomy with or without derotation and 61 by a combination of the two, in an attempt to re-establish the anatomy of the hip to as near normal as possible. The consequences of the operations and their morbidity were analysed for the whole series. Thirty-four patients, only five of whom were operated on both sides were reviewed after a 10 year follow-up or more with 30 good results in 39 hips. The results seem to depend above all on the quality of the articular congruence and the acetabular cover. These procedures are intended, in general, for young adults between 20 and 45 years of age. They can equally be considered up to the age of sixty as an alternative to total hip arthroplasty when the clinical and radiological condition makes it possible.
authors.affiliation: Clinique de Chirurgie Orthopédique, Hôpital Bichat, Paris.
authors.forename: J
authors.initials: J
authors.lastname: Duparc
authors.forename: O
authors.initials: O
authors.lastname: Badelon
authors.forename: R
authors.initials: R
authors.lastname: Cavagna
authors.forename: F
authors.initials: F
authors.lastname: Romain
authors.forename: B
authors.initials: B
authors.lastname: Frot
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D005269:Femur / Q000601:surgery*; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D011859:Radiography
vernacular_title: La correction des vices architecturaux par ostéotomie fémorale et/ou butée dans le traitement des coxarthroses secondaires de l'adulte.