Long-term results of rotational acetabular osteotomy for dysplasia of the hip in adult ambulatory patients with cerebral palsy

S. Nagoya; M. Nagao; J. Takada; M. Kaya; T. Iwasaki; T. Yamashita

doi:10.1302/0301-620X.87B12.16664

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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
M. Nagao
J. Takada
M. Kaya
T. Iwasaki
T. Yamashita

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Long-term results of rotational acetabular osteotomy for dysplasia of the hip in adult ambulatory patients with cerebral palsy

Nagoya S, Nagao M, Takada J, Kaya M, Iwasaki T, Yamashita T. Long-term results of rotational acetabular osteotomy for dysplasia of the hip in adult ambulatory patients with cerebral palsy. J Bone Joint Surg Br. 2005;87-B(12):1627-1630. doi:10.1302/0301-620X.87B12.16664

Nagoya, S., et al. “Long-term results of rotational acetabular osteotomy for dysplasia of the hip in adult ambulatory patients with cerebral palsy.” The Journal of Bone & Joint Surgery British Volume, vol. 87-B, no. 12, 2005, pp. 1627-1630., https://doi.org/10.1302/0301-620X.87B12.16664

Nagoya, S., Nagao, M., Takada, J., Kaya, M., Iwasaki, T., & Yamashita, T. (2005). Long-term results of rotational acetabular osteotomy for dysplasia of the hip in adult ambulatory patients with cerebral palsy. The Journal of Bone & Joint Surgery British Volume, 87-B(12), 1627-1630. https://doi.org/10.1302/0301-620X.87B12.16664

Nagoya, S., Nagao, M., Takada, J., Kaya, M., Iwasaki, T. and Yamashita, T. (2005) “Long-term results of rotational acetabular osteotomy for dysplasia of the hip in adult ambulatory patients with cerebral palsy.” The Journal of Bone & Joint Surgery British Volume, 87-B(12), pp. 1627-1630. Available at: https://doi.org/10.1302/0301-620X.87B12.16664

Nagoya, S., M. Nagao, J. Takada, M. Kaya, T. Iwasaki, and T. Yamashita. “Long-term results of rotational acetabular osteotomy for dysplasia of the hip in adult ambulatory patients with cerebral palsy.” The Journal of Bone & Joint Surgery British Volume 87-B, no. 12 (2005): 1627-1630. https://doi.org/10.1302/0301-620X.87B12.16664

Nagoya S, Nagao M, Takada J, Kaya M, Iwasaki T, Yamashita T. Long-term results of rotational acetabular osteotomy for dysplasia of the hip in adult ambulatory patients with cerebral palsy. J Bone Joint Surg Br. 2005 Dec 1;87-B(12):1627-1630. https://doi.org/10.1302/0301-620X.87B12.16664

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Abstract

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.

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

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