{"created":"2023-06-19T11:20:36.751112+00:00","id":669,"links":{},"metadata":{"_buckets":{"deposit":"d1014e23-af21-46ca-982f-f425d082487e"},"_deposit":{"created_by":3,"id":"669","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"669"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00000669","sets":["7","7:24"]},"author_link":["1691","1692","1693"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2004-07-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"A7","bibliographicPageEnd":"1445","bibliographicPageStart":"1439","bibliographicVolumeNumber":"86","bibliographic_titles":[{"bibliographic_title":"Journal of Bone & Joint Surgery"}]}]},"item_5_description_25":{"attribute_name":"リンクURL","attribute_value_mlt":[{"subitem_description":"http://www.ncbi.nlm.nih.gov/pubmed/15252090 | http://www.ncbi.nlm.nih.gov/pubmed/15252090","subitem_description_type":"Other"}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"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.","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"Journal of Bone and Joint Surgery, Ito, Hiroshi ; Matsuno, Takeo ; Minami, Akio, Journal of Bone & Joint Surgery, 86(A7), 2004, 1439-1445.\n\\npublisher","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0021-9355","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"15252090"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"3431"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1113"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Ito, Hiroshi"}]},"item_5_version_type_38":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"伊藤, 浩"},{"creatorName":"イトウ, ヒロシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1691","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Matsuno, T"}],"nameIdentifiers":[{"nameIdentifier":"1692","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Minami, A"}],"nameIdentifiers":[{"nameIdentifier":"1693","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-07-06"}],"displaytype":"detail","filename":"842.pdf","filesize":[{"value":"817.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"842.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/669/files/842.pdf"},"version_id":"9909f2fd-9b38-450c-963a-852975969c92"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Chiari pelvic osteotomy for advanced osteoarthritis in patients with hip dysplasia.","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Chiari pelvic osteotomy for advanced osteoarthritis in patients with hip dysplasia.","subitem_title_language":"en"}]},"item_type_id":"5","owner":"3","path":["6","7","24"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2008-01-08"},"publish_date":"2008-01-08","publish_status":"0","recid":"669","relation_version_is_last":true,"title":["Chiari pelvic osteotomy for advanced osteoarthritis in patients with hip dysplasia."],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-04-19T11:24:30.617897+00:00"}