Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1987-11-12
pubmed:abstractText
Seventy Chiari osteotomies have been performed between 1975 and 1986. Fifty-three cases have been reviewed with a follow-up greater than a year and with a mean of four years and eight months. In half of the cases, the operation was done for very dysplastic hips, usually at an advanced stage of osteoarthritis (stage two in 37.5 per cent and stage three in 25 per cent). Post-operative complications were very rare except for two cases of non-union. The functional results were very satisfactory, with 83 per cent of very good and good results, especially in respect of relief of pain which was remarkable. These results were sustained in the long-term follow-up; 21 hips had a follow-up of 5 to 11 years, with a mean of 6.8 years. Only two hips needed a total hip arthroplasty. Radiologically, the osteotomy produced normal antero-posterior and lateral hip measurements in almost all the cases, largely due to a considerable medial displacement of more than 20 mm in 87 per cent of cases. There was improvement in the osteoarthritic changes in 74 per cent of cases. The factors which affected the outcome favourably were the degree of dysplasia, a round femoral head and a technically correct operation, with bone division close to the femoral head and a sufficiently upward slope to the osteotomy. An advanced osteoarthritis is not a contra-indication if it is due to a very marked acetabular dysplasia.
pubmed:language
fre
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0035-1040
pubmed:author
pubmed:issnType
Print
pubmed:volume
73
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
365-76
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1987
pubmed:articleTitle
[Chiari's osteotomy in the adult. Apropos of 70 cases].
pubmed:affiliation
Service d'Orthopédie et Traumatologie B, Hôpital B, Lille.
pubmed:publicationType
Journal Article, English Abstract