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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 12, 1627-1630.
doi: 10.1302/0301-620X.87B12.16664  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Long-term results of rotational acetabular osteotomy for dysplasia of the hip in adult ambulatory patients with cerebral palsy

S. Nagoya, MD, PhD, Associate Professor1; M. Nagao, MD, PhD, Assistant Professor1; J. Takada, MD, PhD, Assistant Professor1; M. Kaya, MD, PhD, Instructor1; T. Iwasaki, MD, Orthopaedic Surgeon1; and T. Yamashita, MD, PhD, Professor and Chairman1

1 Department of Orthopedic Surgery, Sapporo Medical University, South 1 West 16 Chuo-Ku, Sapporo 060-8543, Japan.

Correspondence should be sent to Dr S. Nagoya; e-mail: nagoya{at}sapmed.ac.jp

We performed rotational acetabular osteotomy in order to treat dysplasia of the hip in five ambulatory adults with cerebral palsy. There was one man and four women, with a mean age of 21 years (16 to 27) who were followed up for a mean of 12 years and two months.

The mean Sharp angle improved from 52° to 43°, the mean acetabular index from 30.2° to 2.8°, the mean centre-edge angle from –5.6° to 29.2°, and the mean acetabular head index from 49.2 to 88.2. There was no progression of joint degeneration and relief from pain was maintained.

Our results suggest that rotational acetabular osteotomy is a valuable option for the treatment of acetabular dysplasia in adults with cerebral palsy who have incapacitating pain in the hip.






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Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General