Mid-term radiological and clinical results of incomplete triple pelvic osteotomy

Eceviz E., Soylemez M. S. , Uygur M. E. , Özkan K., Ozkut A. T. , Eren A.

ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA, vol.50, pp.660-664, 2016 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 50
  • Publication Date: 2016
  • Doi Number: 10.1016/j.aott.2016.01.005
  • Journal Name: ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA
  • Journal Indexes: Science Citation Index Expanded, Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.660-664
  • Keywords: Triple pelvic osteotomy, Femoroacetabular impingement, Retroversion, ROTATIONAL ACETABULAR OSTEOTOMY, PERIACETABULAR OSTEOTOMY, DYSPLASIA, IMPINGEMENT, HIP

Abstract

Abstract

Objective

The aim of this study was to assess clinical and radiological results of incomplete triple pelvic osteotomy in acetabular dysplasia.

Patients and methods

Twenty-six hips of 24 patients (5 males, 19 females) treated with incomplete triple pelvic osteotomy by a single surgeon from February 1995 to October 2001 were retrospectively reviewed at an average follow-up time of 12 years. The mean age at the time of surgery was 21.6 years (range: 14–41). Radiological evaluation was based on the central edge angle, acetabular angle, acetabular index, acetabular head index and lateralisation. Clinical and radiological scoring was performed using the Harris scoring system, Ömeroğlu scoring system and the Tönnis criteria for osteoarthritis.

Results

There was significant improvements in all of the radiological parameters with 88.5% good radiological results, 96.2% excellent clinical results, no significant progression to osteoarthritis and no need for conversion to total hip arthroplasty. The rate of major complication was 11%. Retroversion was seen in 15.4% of the hips.

Conclusion

Our results support the use of incomplete triple pelvic osteotomy as a safe choice in the treatment of acetabular dysplasia as it offers clinical and radiological benefits and contributes to the prevention of osteoarthritis.

Level of evidence

Level IV, therapeutic study.

Keywords

  • Triple pelvic osteotomy;
  • Femoroacetabular impingement;
  • Retroversion
Objective: The aim of this study was to assess clinical and radiological results of incomplete triple pelvic osteotomy in acetabular dysplasia.