Residual hip dysplasia: is there a place for hip shelf operation?

Journal of Children's Orthopaedics
T Terjesen

Abstract

After modern acetabular osteotomies were introduced, hip shelf operations have become much less commonly used. The aims of this study were to assess the short-term and long-term outcome of a modified Spitzy shelf procedure and to compare the results with those of periacetabular osteotomy (PAO). In all, 44 patients (55 hips) with developmental dysplasia of the hip and residual dysplasia had a modified Spitzy shelf operation. Mean age at surgery was 13.2 years (8 to 22). Indication for surgery was a centre-edge angle < 20° with or without hip pain. Outcome was evaluated using duration of painless period and survival analysis with conversion to total hip arthroplasty (THA) as endpoints. Preoperative hip pain was present in 46% of the hips and was more common in patients ≥ 12 years at surgery (p < 0.001). One year postoperatively, 93% of the hips were painless. Analysis of pain in hips with more than ten years follow-up showed a mean postoperative painless period of 20.0 years (0 to 49). In all, 44 hips (80%) had undergone THA at a mean patient age of 50.5 years (37 to 63). Mean survival of the shelf procedure (time from operation to THA) was 39.3 years (21 to 55). The Spitzy operation had good short and long-term effects on hip pa...Continue Reading

References

Jan 1, 1988·The Journal of Bone and Joint Surgery. British Volume·B N SummersC H Wynn-Jones
Aug 1, 1980·The Journal of Bone and Joint Surgery. British Volume·B R LoveP F Williams
Sep 1, 2005·The Journal of Bone and Joint Surgery. British Volume·E FawzyD Murray
Sep 15, 2011·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Shiro HiroseKeiji Sato
May 14, 2016·Clinical Orthopaedics and Related Research·Joel WellsTravis Matheney
Dec 3, 2016·Clinical Orthopaedics and Related Research·Till Dominic LerchKlaus Arno Siebenrock

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Citations

Aug 30, 2018·Journal of Children's Orthopaedics·T Terjesen
Jul 1, 2021·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Koen WillemsenBart C H van der Wal

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Methods Mentioned

BETA
total hip arthroplasty
chips

Software Mentioned

SPSS

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