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Chiari pelvic osteotomy for advanced osteoarthritis in patients with hip dysplasia.

https://asahikawa-med.repo.nii.ac.jp/records/669
https://asahikawa-med.repo.nii.ac.jp/records/669
6f1e8335-7e3d-4bb3-a42e-d76e7b51bff9
名前 / ファイル ライセンス アクション
842.pdf 842.pdf (817.1 kB)
Item type 学術雑誌論文 / Journal Article_02(1)
公開日 2008-01-08
タイトル
タイトル Chiari pelvic osteotomy for advanced osteoarthritis in patients with hip dysplasia.
言語 en
言語
言語 eng
資源タイプ
資源タイプ journal article
著者 伊藤, 浩

× 伊藤, 浩

伊藤, 浩

ja-Kana イトウ, ヒロシ

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Matsuno, T

× Matsuno, T

Matsuno, T

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Minami, A

× Minami, A

Minami, A

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著者 ローマ字
Ito, Hiroshi
書誌情報 Journal of Bone & Joint Surgery

巻 86, 号 A7, p. 1439-1445, 発行日 2004-07-01
ISSN
収録物識別子タイプ ISSN
収録物識別子 0021-9355
リンクURL
内容記述タイプ Other
内容記述 http://www.ncbi.nlm.nih.gov/pubmed/15252090 | http://www.ncbi.nlm.nih.gov/pubmed/15252090
抄録
内容記述タイプ Abstract
内容記述 BACKGROUND: It is not clear whether a Chiari pelvic osteotomy performed for the treatment of advanced osteoarthritis can delay the need for total hip arthroplasty. We present the mid-term results of the Chiari pelvic osteotomy performed for the treatment of Tonnis grade-3 osteoarthritis (large cysts, severe narrowing of the joint space, or severe deformity or necrosis of the head with extensive osteophyte formation), with a particular focus on whether this procedure can delay the need for total hip arthroplasty. METHODS: We followed thirty-two hips in thirty-one patients with Tonnis grade-3 osteoarthritis who had refused total hip arthroplasty and had been treated with a Chiari pelvic osteotomy. The mean age at the time of surgery was 35.2 years. The mean duration of follow-up was 11.2 years, at which time clinical evaluation with the Harris hip score and radiographic evaluation were performed. RESULTS: The average Harris hip score improved from 52 points preoperatively to 77 points at the time of follow-up; the average pain score improved from 20 to 31 points. Three hips with a hip score of <70 points required total hip arthroplasty. With a hip score of <70 points as the end point, the cumulative rate of survival at ten years was 72%. The clinical outcome was significantly influenced by the preoperative center-edge angle (p = 0.004), the preoperative acetabular head index (p = 0.039), achievement of the appropriate osteotomy level (p = 0.011), and superior migration (p = 0.009) and lateral migration (p = 0.026) of the femoral head. CONCLUSIONS: Although the clinical results were inferior to those of total hip arthroplasty, Chiari pelvic osteotomy may be an option for young patients with advanced osteoarthritis who prefer a joint-conserving procedure to total hip arthroplasty and accept a clinical outcome that is predicted to be less optimal than that of total hip arthroplasty. Moderate dysplasia and moderate subluxation without complete obliteration of the joint space and a preoperative center-edge angle of at least -10 degrees are desirable selection criteria.
注記
内容記述タイプ Other
注記 Journal of Bone and Joint Surgery, Ito, Hiroshi ; Matsuno, Takeo ; Minami, Akio, Journal of Bone & Joint Surgery, 86(A7), 2004, 1439-1445.
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資源タイプ
内容記述タイプ Other
資源タイプ text
著者版フラグ
出版タイプ VoR
フォーマット
内容記述タイプ Other
内容記述 application/pdf
ID(XooNIps)
15252090
閲覧数(XooNIps)
ダウンロード数(XooNIps)
1113
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Cite as

伊藤, 浩, Matsuno, T, Minami, A, n.d., Chiari pelvic osteotomy for advanced osteoarthritis in patients with hip dysplasia.: 1439–1445 p.

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