title: Acetabular reconstruction with Chiari pelvic osteotomy: report of 2 cases.
abstract: We performed cementless total hip arthroplasty combined with acetabular reconstruction with Chiari pelvic osteotomy on 3 hips in 2 patients. This procedure increased the osseous coverage of the shell and decreased the load around the hip by medialization of the hip center. Osteosynthesis of the proximal and distal bone fragment was performed using a shell with screws. Nonunion between the proximal and distal fragments was not noticed to include the case with small contact area. Postoperative dislocation had not occurred in these cases as of 1 year after surgery. This method may be an effective solution for severe dysplasia and revision surgery.
authors: Department of Orthopaedic Surgery, Kyushu Kosei Nenkin Hospital, Yahatanishi-ku, Kitakyushu, Japan.
authors: Toshihiko
authors: T
authors: Hara
authors: Masayuki
authors: M
authors: Maekawa
authors: Shigekazu
authors: S
authors: Kaminomachi
authors: Satoshi
authors: S
authors: Ikemura
authors: Tetsuro
authors: T
authors: Nakamura
mesh_terms: D000077:Acetabulum / Q000601:surgery*; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation / Q000379:methods*; D001863:Bone Screws; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D006617:Hip Dislocation / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D016896:Treatment Outcome