Periacetabular osteotomy in the treatment of developmental hip dysplasia in adolescents and adults.
Background. Article presented results of treatment using periacetabular osteotomy in adolescents and adults. The redirection of the acetabular fragment after osteotomy allow to achieve the correction which decrease or eliminated the deficits of coverage of the femoral head and restore concentric movements in the hip joint. Material and methods. In the period 1998-2005 in our institution 135 pericatebular osteotomies were performed in 115 patients. Clinical data regarding range of motion and Harris hip score immediately preoperatively and at most recent follow up were assessed. Results. In preoperative evaluation in max. 100 points, mean 70 (50-71) were achieved, in the last examination mean 85 (60-100) points were achieved respectively. In presented group no serious complication were registered. The most often complication were: urinary tract infection, heterotopic ossification and lateral cutaneus nerve paraestesia. Conclusions. The most important part of the technique of the periacetabular osteotomy is the optimal repositioning of acetabular fragment. Longer follow up allow to account how stable is good results achieved using periacetabular osteotomy.
Czubak
Jarosław
J
Klinika Ortopedii Centrum Medycznego Kształcenia Podyplomowego, Warszawa.