SavedAdd your journal

Journals / Acta Orthopaedica et Traumatologica Turcica / 2020 / Cilt: 54 - Sayı: 1

T he effect of previous pelvic or proximal femoral osteotomy on the outcomes of total hip arthroplasty in patients with dysplastic coxarthrosis

Fahri ERDOĞAN
Ata CAN
Pages
74–82
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Our data showed that a previous history of pelvic osteotomy or proximal femoral osteotomy compromised the clinical outcomes of subsequent total hip arthroplasty and is related to an increased rate of complications, prolonged operative time, and increased amount of blood loss.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: This study aimed to evaluate whether a history of a pelvic osteotomy or proximal femoral osteotomy compromises the outcomes of total hip arthroplasty in patients with dysplastic coxarthrosis.
📊
Key Findings & Data:Methods: The results of total hip arthroplasty in 240 hips of 172 patients without previous pelvic osteotomy or proximal femoral osteotomy were compared to 118 hips of 88 patients with a previous pelvic osteotomy or proximal femoral osteotomy (osteotomy group).
💡
Conclusion & Impact:Conclusion: Our data showed that a previous history of pelvic osteotomy or proximal femoral osteotomy compromised the clinical outcomes of subsequent total hip arthroplasty and is related to an increased rate of complications, prolonged operative time, and increased amount of blood loss.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objective: This study aimed to evaluate whether a history of a pelvic osteotomy or proximal femoral osteotomy compromises the outcomes of total hip arthroplasty in patients with dysplastic coxarthrosis. Methods: The results of total hip arthroplasty in 240 hips of 172 patients without previous pelvic osteotomy or proximal femoral osteotomy were compared to 118 hips of 88 patients with a previous pelvic osteotomy or proximal femoral osteotomy (osteotomy group). Technical difficulties and rates of complications during surgery, operative time, estimated blood loss, rates of postoperative complications, and pre- and postoperative Harris Hip Scores and visual analog scale pain scores were compared between the two groups. Results: In the osteotomy, the rate of complications was higher and the operative time was longer. The estimated blood loss was also higher, and the latest follow-up Harris Hip Scores and visual analog scale pain scores were worse in this group. Total hip arthroplasty was more demanding and the revision rate was higher in the osteotomy group (six vs four revisions). Conclusion: Our data showed that a previous history of pelvic osteotomy or proximal femoral osteotomy compromised the clinical outcomes of subsequent total hip arthroplasty and is related to an increased rate of complications, prolonged operative time, and increased amount of blood loss.

🔖

Cite This Article

ERDOĞAN, F., CAN, A. (2020). T he effect of previous pelvic or proximal femoral osteotomy on the outcomes of total hip arthroplasty in patients with dysplastic coxarthrosis. Acta Orthopaedica et Traumatologica Turcica, Cilt: 54 - Sayı: 1, 74–82. https://ajindex.com/articles/141652

References (2)

  1. Millis MB, Murphy SB, Poss R. Osteotomies about the hip for the prevention and treatment of osteoarthrosis. Instr Course Lect 1996; 45: 209-26.
  2. Steppacher SD, Tannast M, Ganz R, Siebenrock KA. Mean 20-year followup of bernese periacetabular osteotomy. Clin Orthop Relat Res 2008; 466: 1633-44. [CrossRef] Eskelinen A, Remes V, Ylinen P, Helenius I, Tallroth K, Paavilainen T. Cementless total hip arthroplasty in patients with severely dysplastic hips and a previous Schanz osteotomy of the femur: Techniques, pitfalls, and long-term outcome. Acta Orthop 2009; 80: 263-9. [CrossRef] Sonohata M, Kitajima M, Kawano S, Tanaka R, Mawatari M. Total hip arthroplasty with femoral subtrochanteric osteotomy after Schanz osteotomy. J Orthop Sci 2016; 21: 469-74. [CrossRef] Ito H, Takatori Y, Moro T, Oshima H, Oka H, Tanaka S. Total hip arthroplasty after rotational acetabular osteotomy. J Arthroplasty 2015; 30: 403-6. [CrossRef] Engesaeter LB, Furnes O, Havelin LI. Developmental dysplasia of the hip--good results of later total hip arthroplasty: 7135 primary total hip arthroplasties after developmental dysplasia of the hip compared with 59774 total hip arthroplasties in idiopathic coxarthrosis followed for 0 to 15 years in the Norwegian Arthroplasty Register. J Arthroplasty 2008; 23: 235-40. [CrossRef] Amanatullah DF, Stryker L, Schoenecker P, et al. Similar clinical outcomes for THAs with and without prior periacetabular osteotomy. Clin Orthop Relat Res 2015; 473: 685-91. [CrossRef] Tokunaga K, Aslam N, Zdero R, Schemitsch EH, Waddell JP. Effect of prior salter or chiari osteotomy on THA with developmental hip dysplasia. Clin Orthop Relat Res 2011; 469: 237-43. [CrossRef] Duncan S, Wingerter S, Keith A, Fowler SA, Clohisy J. Does previous osteotomy compromise total hip arthroplasty? A systematic review. J Arthroplasty 2015; 30: 79-85. [CrossRef] 10. Boos N, Krushell R, Ganz R, Müller ME. Total hip arthroplasty after previous proximal femoral osteotomy. J Bone Joint Surg Br 1997; 79: 247-53. [CrossRef] 11. Peters CL, Beck M, Dunn HK. Total hip arthroplasty in young adults after failed triple innominate osteotomy. J Arthroplasty 2001; 16: 188-95. [CrossRef] 12. Minoda Y, Kadowaki T, Kim M. Total hip arthroplasty of dysplastic hip after previous chiari pelvic osteotomy. Arch Orthop Trauma Surg 2006; 126: 394-400. [CrossRef] 13. Osawa Y, Hasegawa Y, Okura T, Morita D, Ishiguro N. Total hip arthroplasty after periacetabular and intertrochanteric valgus osteotomy. J Arthroplast