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PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2007-4-6
pubmed:abstractText
Untreated hip dysplasia predisposes young adults to early arthritis. Varus rotational osteotomies are considered one option to delay or eliminate total hip arthroplasty. We update a report from 1991 by retrospectively reviewing 40 of 48 patients (83.3%) who had 45 varus rotational osteotomies from 1971 to 1986 with a minimum followup of 15 years (mean, 22.6 years; range, 15-34 years). Results were assessed using Hospital for Special Surgery hip scores and radiographic parameters. The average age of the patients at followup was 57.2 years (range, 38-81 years). Fourteen patients (35%) (16 hips) had no additional procedures at 21.2 years followup (range, 15-27 years). The average Hospital for Special Surgery hip score was 33.7 with a Tönnis scale of 1.7 (mild-moderate osteoarthritis). Twenty-six patients (65%) (29 hips) had total hip arthroplasties an average of 9.75 years (range, 2-27 years) after varus rotational osteotomy. As in the initial study, the degree of preoperative osteoarthritis was a predictive value for success of the varus rotational osteotomy. Additionally, younger patients with minimal hip subluxation and osteoarthritis, and a better preoperative Hospital for Special Surgery hip score were predictors of success.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0009-921X
pubmed:author
pubmed:issnType
Print
pubmed:volume
457
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
138-43
pubmed:meshHeading
pubmed:year
2007
pubmed:articleTitle
Varus rotational osteotomies for adults with hip dysplasia: a 20-year followup.
pubmed:affiliation
Hospital for Special Surgery, New York, NY, USA. voosj@hss.edu
pubmed:publicationType
Journal Article