title: Does previous osteotomy compromise total hip arthroplasty? A systematic review.
abstract: Hip osteotomy surgery has increased over the past several years, yet the impact of these procedures on subsequent total hip arthroplasty (THA) remains controversial. The purpose of this study was to perform a systematic review of the literature to determine the clinical results, procedure complications, and survivorship of THA following previous hip osteotomy. Ten studies met inclusion criteria. The operative time and estimated blood loss were higher in the post-osteotomy cohorts; while the clinical results and survivorship between groups were similar. THA following previous pelvic and femoral osteotomy provides pain relief and improved function with similar complication rates, clinical outcomes, and survivorship compared to hips undergoing routine primary THA. These procedures can be technically more demanding with increased operative times and intraoperative blood loss.
authors.affiliation: University of Kentucky, Lexington, Kentucky.
authors.forename: Stephen
authors.initials: S
authors.lastname: Duncan
authors.affiliation: Washington University School of Medicine, St. Louis, Missouri.
authors.forename: Scott
authors.initials: S
authors.lastname: Wingerter
authors.affiliation: Washington University School of Medicine, St. Louis, Missouri.
authors.forename: Angela
authors.initials: A
authors.lastname: Keith
authors.affiliation: Washington University School of Medicine, St. Louis, Missouri.
authors.forename: Susan A
authors.initials: SA
authors.lastname: Fowler
authors.affiliation: Washington University School of Medicine, St. Louis, Missouri.
authors.forename: John
authors.initials: J
authors.lastname: Clohisy
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D016063:Blood Loss, Surgical; D005269:Femur / Q000601:surgery; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D010027:Osteotomy / Q000009:adverse effects*; D010384:Pelvic Bones / Q000601:surgery; D012086:Reoperation / Q000009:adverse effects*; D016896:Treatment Outcome
keywords: aseptic loosening; dislocation; femoral osteotomy; pelvic osteotomy; total hip arthroplasty