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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 5, 647-652.
doi: 10.1302/0301-620X.84B5.12732  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
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The modified Spitzy shelf operation for patients with dysplasia of the hip

A 24-YEAR FOLLOW-UP STUDY

H. Nishimatsu, MD, Orthopaedic Surgeon1; H. Iida, MD, PhD, Professor2; K. Kawanabe, MD, PhD, Lecturer1; J. Tamura, MD, PhD, Assistant Professor1; and T. Nakamura, MD, PhD, Professor1

1 Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University, Kawahara-cho 54, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
2 Department of Orthopaedic Surgery, Kansai Medical College, Fumizono-cho 10-54, Moriguchi 570-8506, Japan.

Correspondence should be sent to Dr K. Kawanabe.

We evaluated the long-term results of a modified Spitzy shelf operation for secondary osteoarthritis in 119 hips with a mean follow-up of 23.8 years. The mean age of the patients at the time of surgery was 25 years. Preoperative osteoarthritic change, the age at operation and shelf height were important factors in determining the outcome. Of the 61 hips in the pre-stage (three) and the initial stage (58) of osteoarthritis, 53 (87%) had good results, compared with only 30 (51%) of 58 hips with advanced osteoarthritis. Of the latter, 72% of those aged less than 25 years had good results compared with only 40% of patients aged over 25 years. The shelf height in the group with good results was significantly lower than in those with poor results. This operation is a safe procedure and indicated for acetabular dysplasia or subluxation of the hip with early osteoarthritic change in patients aged less than 25 years.




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E. Fawzy, G. Mandellos, R. De Steiger, P. McLardy-Smith, M. K. D. Benson, and D. Murray
Is there a place for shelf acetabuloplasty in the management of adult acetabular dysplasia?: A SURVIVORSHIP STUDY
J Bone Joint Surg Br, September 1, 2005; 87-B(9): 1197 - 1202.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General