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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 6, 790-795.
doi: 10.1302/0301-620X.87B6.15318  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Incomplete triple pelvic osteotomy for the surgical treatment of dysplasia of the hip in adolescents and adults

A. Eren, MD, Orthopaedic Surgeon, Vice-Chief of the Clinic1; H. Ömeroglu, MD, Professor2; M. Güven, MD, Orthopaedic Surgeon1; E. Ugutmen, MD, Orthopaedic Surgeon1; and F. Altintas, MD, Associate Professor1

1 Chief of the Clinic 2nd Clinic of Orthopaedics and Traumatology SB Göztepe Teaching and Research Hospital, Istanbul, Turkey.
2 Department of Orthopaedics and Traumatology Osmangazi University, Faculty of Medicine, 26480 Eskisehir, Turkey.

Correspondence should be sent to H. Ömeroglu at Bitistiren Sokak 30/2, 06570 Ankara, Turkey; e-mail: homeroglu{at}superonline.com

We treated 26 hips (24 consecutive patients) with residual dysplasia by a technique of incomplete triple pelvic osteotomy. The mean age of the patients was 21.6 years.

The mean values for the pre-operative centre-edge angle of Wiberg, the refined centre-edge angle, the acetabular angle of Sharp, the modified acetabular angle and femoral head lateralisation were 7.7°, –3.1°, 49.3°, 53.2° and 17.2 mm, respectively. After a mean follow-up of 3.3 years they were 27.0°, 13.0°, 38.9°, 44.3° and 15.9 mm, respectively (p < 0.05). The osteoarthritic grading changed adversely in one hip. The mean pre-operative and latest Harris hip scores were 74.9 and 93.0, respectively (p < 0.05).

This technique provides a stable osteotomy with maintenance of the posterior column which allows early mobilisation and minimal internal fixation. The technique is not complex and requires minimal blood transfusion. The use of an image intensifier is not necessary and harvesting of a subcristal bone graft avoids post-operative complications at the donor site.






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