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Late results of Chiari's pelvic osteotomy

A follow-up of 171 adult hips

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Summary

Between 1971 and 1985, 461 adult patients were treated by Chiari's pelvic osteotomy with medial displacement. Of these, 161 patients (171 hips) were followed up for an average of 9 years. The average age at operation was 29 years.

We describe five groups of painful dysplastic hips in which the operation is indicated. Clinical evaluation by Colton's rating system gave 84% of excellent, good or fair results. Radiographs showed that the secondary osteoarthritic changes were arrested in 73%, improved in 11% and that there was deterioration in 16%. Pain was largely or completely relieved in 87%, the range of movement was maintained in 80% and the gait improved in 77% of our cases. The late results were better in younger patients. We conclude that improved biomechanical conditions are responsible for good congruency of the joint which is preserved for a long time.

Résumé

Entre 1971 et 1985, 461 adultes ont été opérés par osteotomie pèlvienne selon Chiari. De ces 461 opérés, 161 représentant 171 hanches, ont été suivis en moyenne 9 ans. L'âge moyen des patients au moment de l'opération était de 29 ans. Tous les cas ont été répartis en 5 groupes selon les différentes anomalies anatomiques de la hanche dysplasique et douloureuse. L'évaluation clinique selon la cotation de Colton a montré 84% de résultats excellents, bons et satisfaisants. L'analyse radiographique des lésions dégénératives a montré l'absence de progression dans 73% des cas, l'amélioration dans 11% et la détérioration dans 16%. Les 171 hanches ont été réparties dans les 5 groupes déjà mentionnés. Dans 87% des cas on a constaté la disparition ou la diminution des douleurs de hanche, dans 80% des cas la mobilité articulaire a été conservée, et la marche améliorée dans 77% des cas. Les résultats à distance sont meilleurs chez les sujets les plus jeunes. Les auteurs concluent que les nouveaux rapports biomécaniques et la distribution des lignes de forces qui agissent sur le toit acétabulaire néoformé déterminent une congruence articulaire satisfaisante qui se maintient à long terme.

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References

  1. Busse J, Gasteiger W, Tönnis D (1972) Eine neue Methode zur röntgenologischen Beurteilung eines Hüftgelenks. Orthop Unfall-Chir. 72: 1–5

    Google Scholar 

  2. Chiari K (1955) Ergebnisse mit der Beckenosteotomie als Pfannendichplastik. Z Orthop 87: 14–26

    Google Scholar 

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

    Google Scholar 

  4. Chiari K, Schwagerl X (1976) L'ostéotomie pelvienne. Rev Chir Orthop 62: 560–568

    Google Scholar 

  5. Chiari K, Endler M, Hackel H (1978) Indication et résultats de l'ostéotomie du bassin selon Chiari dans l'arthrose avancée. Acta Orthop Belg 44: 176–191

    Google Scholar 

  6. Chapchall G (1974) Indications for the various types of pelvic osteotomies. Clin Orthop 98: 111–115

    Google Scholar 

  7. Colton CL (1972) Chiari osteotomy for acetabular dysplasia in young subjects. J Bone Jt Surg [Br Vol] 54:578–589

    Google Scholar 

  8. Ebach G (1966) Bisherige Erfahrungen mit der Beckenosteotomie nach Chairi. Z Orthop 102: 255–262

    Google Scholar 

  9. Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. J Bone Jt Surg [Am Vol] 51: 737–755

    Google Scholar 

  10. Hoffman DV, Simmons EH, Barrington TW (1974) The results of the Chiari osteotomy. Clin Orthop 98: 162–170

    Google Scholar 

  11. Ieda H, Winkler W (1979) Langzeitergebnisse der Beckenosteotomie nach Chiari durchgeführt an Kindern im Vorschulalter. Orthopäde 8: 44–48

    Google Scholar 

  12. Kollman K (1966) Frühergebnisse, Fehler und Gefahren der Beckenosteotomie. Z Orthop 102: 262–269

    Google Scholar 

  13. Lord G, Samuel P (1977) L'ostéotomie de Chiari chez l'adulte. Chirurgie 103: 804–814

    Google Scholar 

  14. Lord G, Marotte JH, Blanchard JP, Guillamon JL, Samuel P (1985) Osteotomie de Chiari chez l'adulte. A propos de 72 observations. Rev Chir Orthop 71: 205–211

    Google Scholar 

  15. Lupulović I, Radojević B, Zlatić M, Lazović Č (1984) Lateralisation of tabula externa in Chiaris osteotomy. Med Invest 17: 83–85

    Google Scholar 

  16. Macnicol MF, Uprichard H, Mitchell GP (1982) Exercise testing after Chiari pelvic osteotomy. J Bone Jt Surg [Br Vol] 63: 48–52

    Google Scholar 

  17. Merle D'Aubigné R, Postel M (1954) Functional results of hip arthroplasty with acrylic prosthesis. J Bone Jt Surg 36: 451–459

    Google Scholar 

  18. Mitchell GP (1986) Chiari medial displacement osteotomy. Clin Orthop 98: 146–150

    Google Scholar 

  19. Reynolds DA (1986) Chiari innominate osteotomy in adults. J Bone Jt Surg 68: 45–54

    Google Scholar 

  20. Salvati EA, Wilson PD (1974) Treatment of irreducible hip subluxation by Chiaris iliac osteotomy. Clin Orthop 98: 151–161

    Google Scholar 

  21. Schreiber A (1979) Langzeitergebnisse der Beckenosteotomie nach Chiari beim Erwachsenen. Orthopäde 8: 264–268

    Google Scholar 

  22. Schulze H, Krämer J (1975) Ergebnisse der Beckenosteotomie nach Chiari. Z Orthop 1113: 891–895

    Google Scholar 

  23. Thomas G (1969) Fehlerquellen und Komplikationen bei Beckenosteotomien. Z Orthop 107: 108–115

    Google Scholar 

  24. Wedge JH, Wasylenko MJ (1979) The natural hystory of congenital disease of hip. J Bone Jt Surg 61: 334–338

    Google Scholar 

  25. Weigert M, Klems H (1973) Erfahrungen mit der Beckenosteotomie nach Chiari beim Erwachsenen. Z Orthop 111: 772–777

    Google Scholar 

  26. Wiberg G (1939) Studies on dysplastic acetabula and congenital subluxation of the hip joint with special reference to the complication of osteoarthritis. Acta Chir Scand 83: 58

    Google Scholar 

  27. Winkler W, Weber A (1977) Beckenosteotomia nach Chiari. Z Orthop 115: 167–174

    Google Scholar 

  28. Zenker H, Fischer V (1974) Ergebnisse der Beckenosteotomie nach Chiari. Z Orthop 112: 105–111

    Google Scholar 

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Authors and Affiliations

  1. University Orthopaedic Hospital “Banjica”, Mihajla Avramovica 28, YU-1100, Belgrade, Yugoslavia

    M. Zlatić, B. Radojević, C. Lazović & I. Lupulović

Authors
  1. M. Zlatić
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  2. B. Radojević
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  3. C. Lazović
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  4. I. Lupulović
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Zlatić, M., Radojević, B., Lazović, C. et al. Late results of Chiari's pelvic osteotomy. International Orthopaedics 12, 149–154 (1988). https://doi.org/10.1007/BF00266981

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