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Does rotational acetabular osteotomy affect subsequent total hip arthroplasty?

  • Hip Arthroplasty
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Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Rotational acetabular osteotomy (RAO) has been used successfully in patients with developmental dysplasia of the hip (DDH). However, some patients are forced to undergo total hip arthroplasty (THA) because of the progression of osteoarthritis. We evaluated the effect of previous RAO on the outcome of THA performed for degenerative arthritis secondary to DDH, comparing outcomes for patients with THA and prior RAO versus outcomes for patients with THA and no prior RAO.

Materials and methods

At an average follow-up point of 8.2 years (range 7–11 years), we compared outcomes in dysplastic hips for 22 hips (group R) in patients who underwent THA after successful RAO with outcomes for a well-matched control group of 30 hips in patients who underwent primary THA (group C) during the same period.

Results

Both groups had similar midterm results. No acetabular or femoral components exhibited loosening or revision in either group. Harris hip scores (HHSs) at the most recent follow-up had not been compromised by RAO, and there were no significant differences in intraoperative blood loss and operative time between the two groups. Although there was a tendency toward superolateral placement of the acetabular component in group R, there were no significant differences in the mean steady-state linear and volumetric wear rates between the two groups. There were no infections, dislocations, intraoperative fractures, damaged nerves, or deep vein thromboses in either group.

Conclusions

Our midterm results demonstrated that RAO does not lead to higher revision rates, compromised HHSs, or shortened survivorship in eventual THA for DDH.

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References

  1. Ganz R, Klaue K, Vinh TS, Mast JW (1988) A new periacetabular osteotomy for the treatment of hip dysplasias: technique and preliminary results. Clin Orthop Relat Res 232:26–36

    PubMed  Google Scholar 

  2. Millis MB, Murphy SB, Poss R (1996) Osteotomies about the hip for the prevention and treatment of osteoarthrosis. Instr Course Lect 45:209–226

    CAS  PubMed  Google Scholar 

  3. Salter RB (1961) Innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip. J Bone Joint Surg Br 43:518–539

    Google Scholar 

  4. Chiari K (1974) Medial displacement osteotomy of the pelvis. Clin Orthop Relat Res 98:55–71

    Article  PubMed  Google Scholar 

  5. Ninomiya S, Tagawa H (1984) Rotational acetabular osteotomy for the dysplastic hip. J Bone Joint Surg Am 66:430–436

    CAS  PubMed  Google Scholar 

  6. Bohm P, Brzuske A (2002) Salter innominate osteotomy for the treatment of development dysplasia of the hip in children: results of seventy-three consecutive osteotomies after twenty-six to thirty-five years of follow-up. J Bone Joint Surg Am 84:178–186

    Article  PubMed  Google Scholar 

  7. Macnicol MF, Lo HK, Yong KF (2004) Pelvic remodelling after the Chiari osteotomy: a long-term review. J Bone Joint Surg Br 86:648–654

    Article  CAS  PubMed  Google Scholar 

  8. Okano K, Enomoto H, Osaki M, Shindo H (2008) Outcome of rotational acetabular osteotomy for early hip osteoarthritis secondary to dysplasia related to femoral head shape: 49 hips followed for 10–17 years. Acta Orthop 79:12–17

    Article  PubMed  Google Scholar 

  9. Yasunaga Y, Ochi M, Shimogaki K, Yamamoto S, Iwamori H (2004) Rotational acetabular osteotomy for hip dysplasia: 61 hips followed for 8–15 years. Acta Orthop Scand 75:10–15

    Article  PubMed  Google Scholar 

  10. Scher MA, Jakim I (1991) Combined intertrochanteric and Chiari pelvic osteotomies for hip dysplasia. J Bone Joint Surg Br 73:626–631

    CAS  PubMed  Google Scholar 

  11. Hashemi-Nejad A, Haddad FS, Tong KM, Muirhead-Allwood SK, Catterall A (2002) Does Chiari osteotomy compromise subsequent total hip arthroplasty? J Arthroplasty 17:731–739

    Article  CAS  PubMed  Google Scholar 

  12. Parvizi J, Burmeister H, Ganz R (2004) Previous Bernese periacetabular osteotomy does not compromise the results of total hip arthroplasty. Clin Orthop Relat Res 423:118–122

    Article  PubMed  Google Scholar 

  13. Peters CL, Beck M, Dunn HK (2001) Total hip arthroplasty in young adults after failed triple innominate osteotomy. J Arthroplasty 16:188–195

    Article  CAS  PubMed  Google Scholar 

  14. Minoda Y, Kadowaki T, Kim M (2006) Total hip arthroplasty of dysplastic hip after previous Chiari pelvic osteotomy. Arch Orthop Trauma Surg 126:394–400

    Article  PubMed  Google Scholar 

  15. Wiberg G (1939) Studies on dysplastic acetabulum and congenital subluxation of the hip joint with special reference to the complications of osteoarthritis. Acta Chir Scand 83:29–38

    Google Scholar 

  16. Massie WK, Howorth MB (1950) Congenital dislocation of the hip. Part I. Method of grading results. J Bone Joint Surg Am 32:519–531

    PubMed  Google Scholar 

  17. Siebenrock KA, Kalbermatten DF, Ganz R (2003) Effect of pelvic tilt on acetabular retroversion: a study of pelves from cadavers. Clin Orthop Relat Res 407:241–248

    Article  PubMed  Google Scholar 

  18. Siebenrock KA, Schoeniger R, Ganz R (2003) Anterior femoro-acetabular impingement due to acetabular retroversion. Treatment with periacetabular osteotomy. J Bone Joint Surg Am 85:278–286

    PubMed  Google Scholar 

  19. Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am 60:217–220

    CAS  PubMed  Google Scholar 

  20. Devane PA, Horne JG (1999) Assessment of polyethylene wear in total hip replacement. Clin Orthop Relat Res 369:59–72

    Article  PubMed  Google Scholar 

  21. Manning DW, Chiang PP, Martell JM, Galante JO, Harris WH (2005) In vivo comparative wear study of traditional and highly crosslinked polyethylene in total hip arthroplasty. J Arthroplasty 20:880–886

    Article  PubMed  Google Scholar 

  22. Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am 51:737–755

    CAS  PubMed  Google Scholar 

  23. Fukui K, Kaneuji A, Sugimori T, Ichiseki T, Matsumoto T (2013) How far above the true anatomic position can the acetabular cup be placed in total hip arthroplasty? Hip Int 23:129–134

    Article  PubMed  Google Scholar 

  24. Harris WH, McCarthy JC, O’Neill DA (1982) Femoral component loosening using contemporary techniques of femoral cement fixation. J Bone Joint Surg Am 64:1063–1067

    CAS  PubMed  Google Scholar 

  25. Engh CA, Bobyn JD (1987) Glassman AH (1987), Porous-coated hip replacement. The factors governing bone ingrowth, stress shielding, and clinical results. J Bone Joint Surg Br 69:45–55

    CAS  PubMed  Google Scholar 

  26. Tompkins GS, Jacobs JJ, Kull LR, Rosenberg AG, Galante JO (1997) Primary total hip arthroplasty with a porous-coated acetabular component. Seven-to-ten-year results. J Bone Joint Surg Am 79:169–176

    CAS  PubMed  Google Scholar 

  27. DeLee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop 121:20–32

    PubMed  Google Scholar 

  28. Gruen TA, McNeice GM, Amstutz HC (1979) “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res 141:17–27

    PubMed  Google Scholar 

  29. Zicat B, Engh CA, Gokcen E (1995) Patterns of osteolysis around total hip components inserted with and without cement. J Bone Joint Surg Am 77:432–439

    CAS  PubMed  Google Scholar 

  30. Brooker AF, Bowerman JW, Robinson RA, Riley LH Jr (1973) Ectopic ossification following total hip replacement: incidence and a method of classification. J Bone Joint Surg Am 55:1629–1632

    CAS  PubMed  Google Scholar 

  31. Tokunaga K, Aslam N, Zdero R, Schemitsch EH, Waddell JP (2011) Effect of prior Salter or Chiari osteotomy on THA with developmental hip dysplasia. Clin Orthop Relat Res 469:237–243

    Article  PubMed Central  PubMed  Google Scholar 

  32. Numair J, Joshi AB, Murphy JC, Porter ML, Hardinge K (1997) Total hip arthroplasty for congenital dysplasia or dislocation of the hip: survivorship analysis and long-term results. J Bone Joint Surg Am 79:1352–1360

    CAS  PubMed  Google Scholar 

  33. Sochart DH, Porter ML (1997) The long-term results of Charnley low-friction arthroplasty in young patients who have congenital dislocation, degenerative osteoarthrosis, or rheumatoid arthritis. J Bone Joint Surg Am 79:1599–1617

    CAS  PubMed  Google Scholar 

  34. Linde F, Jensen J (1988) Socket loosening in arthroplasty for congenital dislocation of the hip. Acta Orthop Scand 59:254–257

    Article  CAS  PubMed  Google Scholar 

  35. Schuller HM, Dalstra M, Huiskes R, Marti RK (1993) Total hip reconstruction in acetabular dysplasia: a finite element study. J Bone Joint Surg Br 75:468–474

    CAS  PubMed  Google Scholar 

  36. Mulroy RD Jr, Harris WH (1990) Failure of acetabular autogenous grafts in total hip arthroplasty: increasing incidence: a follow-up note. J Bone Joint Surg Am 72:1536–1540

    PubMed  Google Scholar 

  37. Woolson ST, Harris WH (1983) Complex total hip replacement for dysplastic or hypoplastic hips using miniature or microminiature components. J Bone Joint Surg Am 65:1099–1108

    CAS  PubMed  Google Scholar 

  38. Hartofilakidis G, Stamos K, Karachalios T (1998) Treatment of high dislocation of the hip in adults with total hip arthroplasty: operative technique and long-term clinical results. J Bone Joint Surg Am 80:510–517

    CAS  PubMed  Google Scholar 

  39. Yoder SA, Brand RA, Pedersen DR, O’Gorman TW (1988) Total hip acetabular component positioning affects component loosening rates. Clin Orthop Relat Res 228:79–87

    PubMed  Google Scholar 

  40. Hartofilakidis G, Stamos K, Ioannidis TT (1988) Low friction arthroplasty for old untreated congenital dislocation of the hip. J Bone Joint Surg Am 70:182–186

    CAS  Google Scholar 

  41. Hartofilakidis G, Stamos K, Karachalios T, Ioannidis TT, Zacharakis N (1996) Congenital hip disease in adults: classification of acetabular deficiencies and operative treatment with acetabuloplasty combined with total hip arthroplasty. J Bone Joint Surg Am 78:683–692

    CAS  PubMed  Google Scholar 

  42. MacKenzie JR, Kelley SS, Johnston RC (1996) Total hip replacement for coxarthrosis secondary to congenital dysplasia and dislocation of the hip: long-term results. J Bone Joint Surg Am 78:55–61

    CAS  PubMed  Google Scholar 

  43. McQueary FG, Johnston RC (1988) Coxarthrosis after congenital dysplasia: treatment by total hip arthroplasty without acetabular bone grafting. J Bone Joint Surg Am 70:1140–1144

    CAS  PubMed  Google Scholar 

  44. Hartwig CH, Beele B, Kusswetter W (1995) Femoral head bone grafting for reconstruction of the acetabular wall in dysplastic hip replacement. Arch Orthop Trauma Surg 114:269–273

    Article  CAS  PubMed  Google Scholar 

  45. Harris WH, Crothers O, Oh I (1977) Total hip replacement and femoral head bone-grafting for severe acetabular deficiency in adults. J Bone Joint Surg Am 59:752–759

    CAS  PubMed  Google Scholar 

  46. Morsi E, Garbuz D, Stockley I, Morsi E, Garbuz D, Stockley I, Catre M, Gross AE (1996) Total hip replacement in dysplastic hips using femoral head shelf autografts. Clin Orthop Relat Res 324:164–168

    Article  PubMed  Google Scholar 

  47. Rodriguez JA, Huk OL, Pellicci PM, Wilson PD Jr (1995) Autogenous bone grafts from the femoral head for the treatment of acetabular deficiency in primary total hip arthroplasty with cement: long-term results. J Bone Joint Surg Am 77:1227–1233

    CAS  PubMed  Google Scholar 

  48. Wolfgang GL (1990) Femoral head autografting with total hip arthroplasty for lateral acetabular dysplasia. A 12-year experience. Clin Orthop Relat Res 225:173–185

    Google Scholar 

  49. Russotti GM, Harris WH (1991) Proximal placement of the acetabular cup in total hip arthroplasty: a long term follow-up study. J Bone Joint Surg Am 73:587–592

    CAS  PubMed  Google Scholar 

  50. Gill TJ, Sledge JB, Müller ME (1998) Total hip arthroplasty with use of an acetabular reinforcement ring in patients who have congenital dysplasia of the hip. Results at five to fifteen years. J Bone Joint Surg Am 80:969–979

    Article  CAS  PubMed  Google Scholar 

  51. Schutzer S, Harris WH (1994) High placement of porous-coated acetabular components in complex total hip arthroplasty. J Arthroplasty 9:359–367

    Article  CAS  PubMed  Google Scholar 

  52. Delp SL, Maloney WS (1993) Effects of hip center location on the moment-generating capacity of the muscles. J Biomech 26:485–499

    Article  CAS  PubMed  Google Scholar 

  53. Delp SL, Wixson RL, Komattu AV, Kocmond JH (1996) How superior placement of the joint center in hip arthroplasty affects the abductor muscles. Clin Orthop Relat Res 328:137–146

    Article  PubMed  Google Scholar 

  54. Doehring TC, Rubash HE, Shelley F, Schwendeman LJ, Donaldson TK, Navalgund YA (1996) Effect of superior and superolateral relocations of the hip center on hip joint forces. An experimental and analytical analysis. J Arthroplasty 11:693–703

    Article  CAS  PubMed  Google Scholar 

  55. Johnston RC, Brand RA, Crowninshield RD (1979) Reconstruction of the hip: a mathematical approach to determine optimum geometric relationships. J Bone Joint Surg Am 61:639–652

    CAS  PubMed  Google Scholar 

  56. Kelley SS (1994) High hip center in revision arthroplasty. J Arthroplasty 9:503–510

    Article  CAS  PubMed  Google Scholar 

  57. Pagnano W, Hanssen AD, Lewallen DG, Shaughnessy WJ (1996) The effect of superior placement of the acetabular component on the rate of loosening after total hip arthroplasty. J Bone Joint Surg Am 78:1004–1014

    CAS  PubMed  Google Scholar 

  58. Little NJ, Busch CA, Gallagher JA, Rorabeck CH, Bourne RB (2009) Acetabular polyethylene wear and acetabular inclination and femoral offset. Clin Orthop Relat Res 467:2895–2900

    Article  PubMed Central  PubMed  Google Scholar 

  59. Fukui K, Kaneuji A, Sugimori T, Ichiseki T, Matsumoto T (2013) Wear comparison between conventional and highly cross-linked polyethylene against a zirconia head: a concise follow-up, at an average 10 years, of a previous report. J Arthroplasty 28:1654–1658

    Article  PubMed  Google Scholar 

  60. Johanson P-D, Karrholm JN, Digas G et al (2010) Highly cross-linked polyethylene in total hip arthroplasty: seven years’ follow-up. Presented at the annual meeting of the American Academy of Orthopaedic Surgeons, March 9–13, New Orleans

  61. Söderman P, Malchau H (2001) Is the Harris hip score system useful to study the outcome of total hip replacement? Clin Orthop Relat Res 384:189–197

    Article  PubMed  Google Scholar 

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Acknowledgments

One or more of the authors have received or will receive benefits for personal or professional use from a commercial party related directly or indirectly to the subject of this article. In addition, benefits have been or will be directed to a research fund, foundation, educational institution, or other nonprofit organization with which one or more of the authors are associated. We are grateful to Matsumi Yamamoto for assistance in assessing patient radiographs and PE wear. Medical editor Katharine O’Moore-Klopf, ELS (East Setauket, NY, USA) provided professional English-language editing of this article.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Kanazawa Medical University, 1-1 Daigaku, Uchinada-machi, Kahokugun, Ishikawa, 920-0293, Japan

    Kiyokazu Fukui, Ayumi Kaneuji, Tanzo Sugimori, Toru Ichiseki & Tadami Matsumoto

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  1. Kiyokazu Fukui
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  2. Ayumi Kaneuji
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  3. Tanzo Sugimori
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Correspondence to Kiyokazu Fukui.

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Fukui, K., Kaneuji, A., Sugimori, T. et al. Does rotational acetabular osteotomy affect subsequent total hip arthroplasty?. Arch Orthop Trauma Surg 135, 407–415 (2015). https://doi.org/10.1007/s00402-015-2154-5

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