Is there a place for shelf acetabuloplasty in the management of adult acetabular dysplasia? A survivorship study.
We followed up 76 consecutive hips with symptomatic acetabular dysplasia treated by acetabular shelf augmentation for a mean period of 11 years. Survival analysis using conversion to hip replacement as an end-point was 86% at five years and 46% at ten years. Forty-four hips with slight or no narrowing of the joint space pre-operatively had a survival of 97% at five and 75% at ten years. This was significantly higher (p = 0.0007) than that of the 32 hips with moderate or severe narrowing of the joint-space, which was 76% at five and 22% at ten years. There was no significant relationship between survival and age (p = 0.37) or the pre- and post-operative centre-edge (p = 0.39) and acetabular angles (p = 0.85). Shelf acetabuloplasty is a reliable, safe procedure offering medium-term symptomatic relief for adults with acetabular dysplasia. The best results were achieved in patients with mild and moderate dysplasia of the hip with little arthritis.
Fawzy
E
E
Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford OX3 7LD, England, UK.
Mandellos
G
G
De Steiger
R
R
McLardy-Smith
P
P
Benson
M K D
MK
Murray
D
D
D000077:Acetabulum / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000000981:diagnostic imaging / Q000209:etiology; D011183:Postoperative Complications; D011859:Radiography; D012086:Reoperation; D012720:Severity of Illness Index; D016019:Survival Analysis; D016896:Treatment Outcome