Radiological and clinical results of rotational acetabular osteotomy combined with femoral intertrochanteric osteotomy for avascular necrosis following treatment for developmental dysplasia of the hip

Hiroshi Minagawa, Ayako Aiga, Hirosuke Endo, Shigeru Mitani, Tomonori Tetsunaga, Toshifumi Ozaki

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

This retrospective study assessed the radiographic results of 16 patients with avascular necrosis following treatment for developmental dislocation of the hip (DDH) who were subsequently treated between 1991 and 2005 by rotation acetabular osteotomy (RAO) combined with femoral intertrochanteric osteotomy (FIO). Initial treatment was by Pavlik harness, cast fixation, or overhead traction. The parameters that showed consistent improvement were the index of centralization, the index of acetabular coverage, adequate reduction of the greater trochanter, and abductor sufficiency. The combined procedure appears to be effective in cases in which preoperative planning shows a reasonable expectation of congruency and osteoarthritis is limited to the early stages.

Original languageEnglish
Pages (from-to)169-175
Number of pages7
JournalActa medica Okayama
Volume63
Issue number4
Publication statusPublished - Sep 1 2009

Keywords

  • Avascular necrosis
  • Combined procedure
  • Developmental dysplasia of hip
  • Femoral intertrochanteric osteotomy
  • Rotation acetabular osteotomy

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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