Abstract
Between 1974 and 1999 we performed 15 intertrochanteric osteotomies in 14 patients with a painful hip secondary to Legg-Calvé-Perthes’ disease. In seven patients, the osteotomy was combined with advancement of the greater trochanter, acetabular roof plasty, or both. One patient died 5 years after the osteotomy and one patient was lost to follow-up. One patient had a revision osteotomy 21 years after the initial osteotomy, and five patients had a prosthetic replacement 8–25 years after the osteotomy. The average follow-up of the remaining osteotomies was 11.3 years. An intertrochanteric osteotomy can decrease pain and improve clinical function medium and long term without radiological progression of joint degeneration.
Résumé
Entre 1974 et 1999 nous avons exécuté 15 ostéotomies intertrochantériennes chez 14 malades avec une hanche douloureuse secondaire à une maladie de Legg Calvé Perthes. chez 7 malades l’ostéotomie a été combinée avec avancement du grand trochanter et/ou une plastie acétabulaire. Un malade est mort 5 années après l’ostéotomie et un malade a été perdu de vue. Un malade a eu une ostéotomie itérative 21 années après l’ostéotomie initiale et cinq malades ont eu un remplacement prothétique 8 à 25 années après l’ostéotomie. La moyenne de suivi des autres ostéotomies était de 11,3 années. Une ostéotomie intertrochantérienne peut diminuer la douleur et améliorer la fonction clinique à moyenne et à longue échéance sans progression radiologique de la dégénérescence articulaire.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Aronson J (1986) Osteoarthritis of the young adult hip. Etiology and treatment. Instr Course Lect 35:119–128
Baksi DP (1995) Palliative operations for painful old Perthes’ disease. Int Orthop 19:46–50
Bankes MJK, Catterall A, Hashemi-Nejad A (2000) Valgus extension osteotomy for hinge abduction in Perthes’ disease. Results at maturity and factors influencing the radiological outcome. J Bone Joint Surg [Br] 82:548–554
Caterall A (1986) Adolescent hip pain after Perthes’ disease. Clin Orthop 209:65–69
Dal Monte A, Andrisano A, Donini G, Cardellicchio R (1983) Late sequelae of Perthes’ disease (long-term follow-up of 34 hips). Ital J Orthop Traumatol 9:287–292
Ganz R, Klaue K, Vinh TS, Mast JW (1988) A new periacetabular osteotomy for the treatment of hip dysplasias. Clin Orthop 232:26–36
Jingushi S, Sugioka Y, Noguchi Y, Miura H, Iwamoto Y (2002) Transtrochanteric valgus osteotomy for the treatment of osteoarthritis of the hip secondary to acetabular dysplasia. J Bone Joint Surg [Br] 84:535–539
Koyama K, Higuchi F, Inoue A (1998) Modified Chiari osteotomy for arthrosis after Perthes’ disease, 14 hips followed for 2–12 years. Acta Orthop Scand 69:129–32
Magnicol MF, Makris D (1991) Distal transfer of the greater trochanter. J Bone Joint Surg [Br] 73:838–841
Maistrelli GL, Gerundini M, Fusco U, Bombelli R, Bombelli M, Avai A (1990) Valgus-extension osteotomy for osteoarthritis of the hip. Indications and long-term results. J. Bone Joint Surg [Br] 72:653–657
Marti RK, Schuller HM, Steijn van MJ (1994) Superolateral bone grafting for acetabular deficiency in primary total hip replacement and revision. J Bone Joint Surg [Br] 76:728–734
Marti RK, ten Holder EJ, Kloen P (2001) Lengthening osteotomy at the intertrochanteric level with simultaneous correction of angular deformities. Int Orthop 25:355–359
Millis MB, Murphy SB, Poss R (1996) Osteotomies about the hip for the prevention and treatment of osteoarthritis. Instr Course Lect 45:209–226
Nakamura S, Ninomiya S, Morimoto S, Moro T, Takatori Y (2001) Combined intertrochanteric valgus and rotational acetabular osteotomy. Clin Orthop 384:176–188
Nakamura S, Ninomiya S, Takatori Y, Morimoto S, Umeyama T (1998) Long-term outcome of rotational acetabular osteotomy: 145 hips followed for 10–23 years. Acta Orthop Scand 69 259–265
Phaltankar PM, Bhavnani K, Kale S, Sejale S, Patel BR (1995) Is McMurray’s osteotomy obsolete? J Postgrad Med 4:102–103
Quain S, Catteral A (1986) Hinge abduction of the hip, diagnosis and treatment. J Bone Joint Surg [Br] 68:61–64
Reigstad A, Gronmark T (1984) Osteoarthritis of the hip treated by intertrochanteric osteotomy. A long-term follow-up. J Bone Joint Surg [Am] 66:1–6
Santore RF, Dabezies EJ (1995) Femoral osteotomy for secondary arthritis of the hip in young adults. Can J Surg 38:S33–38
Snow SW, Keret D, Scarangella S, Bowen JR (1993) Anterior impingement of the femoral head: a late phenomenon of Legg-Calve-Perthes’ disease. J Pediatr Orthop 13:286–294
Stulberg DS, Cooperman DR,Wallenstein R (1981) The natural history of Legg-Calvé-Perthes disease. J Bone Joint Surg [Am] 63:1095–1108
Trumble SJ, Mayo KA, Mast JW 1999) The periacetabular osteotomy, minimum 2 year follow up in more than 100 hips. Clin Orthop 363:54–63
Tönnis D (1987) Congenital Dysplasia and dislocation of the hip in children and adults. Springer, Berlin, Heidelberg, New York
Weisl H (1980) Intertrochanteric osteotomy for osteoarthritis. A long-term follow-up. J Bone Joint Surg [Br] 62:37–42
Vengust R, Daniel M, Antolic V, Zupanc O, Iglic A, Kralj-Iglic V (2001) Biomechanical evaluation of hip joint after Salter Innominate osteotomy: a long-term follow-up study. Arch Orthop Trauma Surg 121:511–516
Yasunaga Y, Iwamori H, Ikuta Y, Yamamoto S, Harada A (1999) Rotational acetabular osteotomy for advanced osteoarthrosis secondary to dysplasia of the hip, results at 6–11 years postoperatively. Arch Orthop Trauma Surg 119:253–257
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Pécasse, G.A.B.M., Eijer, H., Haverkamp, D. et al. Intertrochanteric osteotomy in young adults for sequelae of Legg-Calvé-Perthes’ disease—a long term follow-up. International Orthopaedics (SICOT) 28, 44–47 (2004). https://doi.org/10.1007/s00264-003-0513-2
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00264-003-0513-2