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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 12, 1622-1626.
doi: 10.1302/0301-620X.87B12.15482  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Triple osteotomy of the pelvis for acetabular dysplasia

AGE AT OPERATION AND THE INCIDENCE OF NONUNIONS AND OTHER COMPLICATIONS INFLUENCE OUTCOME

N. P. Hailer, MD, Priv.-Doz, Orthopaedic Staff Surgeon1; L. Soykaner, House Officer2; H. Ackermann, PhD, Head of Department3; and M. Rittmeister, MD, Priv-Doz, Orthopaedic Staff Surgeon2

1 Department of Orthopaedics Uppsala University Hospital, SE-751 85 Uppsala, Sweden.
2 University Hospital for Orthopaedic Surgery Friedrichsheim, Johann WolfgangGoethe-University, D-60528, Frankfurt am Main, Germany.
3 Department of Biomathematics Hospital of the Johann WolfgangGoethe-University, D-60590, Frankfurt am Main, Germany.

Correspondence should be sent to Dr N. P. Hailer; e-mail: nils.hailer{at}akademiska.se

We investigated the variables which determine the outcome after triple osteotomy of the pelvis for the treatment of congenital dysplasia of the hip. We reviewed 51 patients (61 hips) with a median age at operation of 23 years who were treated with a Tönnis triple osteotomy. The median follow-up was six years with a minimum of two years. Eight patients (eight hips) required a revision procedure. Of the remaining 53 hips, the results were good or excellent in 36 (68%) when evaluated according to the Harris hip score (median 90 points), and 33 patients (65%) were satisfied with the procedure. Logistic regression analysis indicated that the incidence of complications such as nonunion at an osteotomy site influenced patient satisfaction (p = 0.079). The incidence of complications correlated positively with increasing patient age at operation (p = 0.004). The amount of acetabular correction did not correlate with patient satisfaction. In univariate analysis, the groups of ’satisfied’ and ‘not satisfied’ patients differed significantly in Harris hip score, age, incidence of nonunion at the osteotomy sites, complications and late revisions. In conclusion, the patient’s age at operation and the incidence of complications influence patient satisfaction after triple osteotomy, but the amount of radiologically evident acetabular correction shows no correlation to outcome.






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