Skip to main content

Advertisement

SpringerLink
Log in

A computer model for evaluating the osteotomy parameters of Chiari pelvic osteotomy

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

An Erratum to this article was published on 09 December 2009

Abstract

This study was conducted to evaluate the effect of the various osteotomy parameters on the biomechanical aspects of the hip joint on a computerised model. The data of the radiographs and a three-dimensional (3D) CT scan of six patients with coverage deficient hip joint were used to construct a 3D computer model. Then Chiari type osteotomies were simulated using various heights, angles and fibrocartilage thicknesses. A new angle called the mid acetabular center edge (MACE) angle was defined in a mid coronal CT cut. The optimum displacement for obtaining the maximum coverage averaged 73%. The angle and height of the osteotomy had a significant effect on the MACE angle (P value < 0.01). Our findings of these Chiari parameters may change the results of the osteotomy. The probability of adapting the proximal osteotomy segment to a deformed femoral head was explained by the model and a modified osteotomy “multiple height osteotomy” was proposed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Macnicol MF, Lo HK, Yong KF (2004) Pelvic remodeling after the Chiari osteotomy: A long-term review. J Bone Joint Surg 86-B:648–654

    Article  Google Scholar 

  2. Yanagimoto S, Hotta H, Izumida R, Sakamaki T (2005) Long-term results of Chiari pelvic osteotomy in patients with developmental dysplasia of the hip: indications for Chiari pelvic osteotomy according to disease stage and femoral head shape. J Orthop Sci 10:557–563

    Article  PubMed  Google Scholar 

  3. Mannor DA, Weinstein SL, Dietz FR (1996) Long-term follow-up of Chiari pelvic osteotomy in myelomeningocele. J Pediatr Orthop 16:769–773

    CAS  PubMed  Google Scholar 

  4. Lack W, Windhager R, Kutschera HP, Engel A (1991) Chiari pelvic osteotomy for osteoarthritis secondary to hip dysplasia; indications and long-term results. J Bone Joint Surg 73-B:229–234

    Google Scholar 

  5. Gavrankapetanovic I, Cobeljic G, Bajin Z, Vukasinovic Z, Gavrankapetanovic F (2007) Developmental dysplasia of the hip in cerebral palsy–surgical treatment. Int Orthop (SICOT) 31:561–568

    Article  CAS  Google Scholar 

  6. Ito H, Matsuno T, Minami A (2004) Chiari pelvic osteotomy for advanced osteoarthritis in patients with hip dysplasia. J Bone Joint Surg 86-A:1439–1446

    PubMed  Google Scholar 

  7. Ito H, Matsuno T, Minami A (2005) Chiari pelvic osteotomy for advanced osteoarthritis in patients with hip dysplasia: Surgical technique. J Bone Joint Surg 87-A:213–226

    Article  Google Scholar 

  8. Fernandez DL, Isler B, Muller M (1984) Chiari’s osteotomy: a note on technique. Clin Orthop 185:53

    PubMed  Google Scholar 

  9. Handelsman JE (1980) The Chiari pelvic sliding osteotomy. Orthop Clin North Am 11:105–125

    CAS  PubMed  Google Scholar 

  10. Windhager R, Pongracz N, Schonecker W, Kotz R (1991) Chiari osteotomy for congenital dislocation and subluxation of the hip: results after 20 to 34 years follow-up. J Bone Joint Surg 73-B:890–895

    Google Scholar 

  11. Matsui M, Masuhara K, Nakata K, Nishil T, Ochi T (1997) Early deterioration after modified rotational acetabular osteotomy for the dysplastic hip. J Bone Joint Surg 79-B:220–224

    Article  Google Scholar 

  12. Betz RR, Kumar SJ, Palmer CT, MacEwen GD (1988) Chiari pelvic osteotomy in children and young adults. J Bone Joint Surg 70-A:182–191

    Google Scholar 

  13. Reynolds DA (1986) Chiari innominate osteotomy in adults: technique, indications and contra-indications. J Bone Joint Surg 68-B:45–54

    Google Scholar 

  14. Rejholec M, Stryhal F, Rybka V (1990) Chiari osteotomy of the pelvis: a long-term study. J Pediatr Orthop 10:21

    CAS  PubMed  Google Scholar 

  15. De Waal Malefyt MC, Hoogland T, Nielson HKL (1982) Chiari osteotomy in the treatment of congenital dislocation and subluxation of the hip. J Bone Joint Surg 64-A:996–1004

    Google Scholar 

  16. Azuma T, Matsuno S, Masuda T, Takahashi M, Hasegawa I, Matsuno T (1984) The results of Chiari pelvic osteotomy. In: Ryozo U, Noriya A, Yasuto I, Hiroshi T, Shinichi Y (eds) The hip. Clinical studies and basic research. Excerpta Medica, International Congress Series. Amsterdam, Elsevier, pp 95–100

    Google Scholar 

  17. Matsuno T, Ichioka Y, Kaneda K (1992) Modified Chiari pelvic osteotomy: a long-term follow-up study. J Bone Joint Surg 74-A:470–478

    Google Scholar 

  18. Hogh J, MacNicol MF (1987) The Chiari pelvic osteotomy: a long term review of clinical and radiographic results. J Bone Joint Surg 69-B:365–373

    Google Scholar 

  19. Calvert PT, August AC, Albert JS, Kemp HB, Catterall A (1987) The Chiari pelvic osteotomy: a review of the long-term results. J Bone Joint Surg 69-B:551–555

    Google Scholar 

  20. Iliescu N, Dan Pastrama S, Gruionu LG, Jiga G (2008) Biomechanical changes of hip joint following different types of corrective osteotomy–photoelastic studies. Acta of Bioeng Biomech 10:65–71

    Google Scholar 

  21. Nakano S, Nishisyo T, Hamada D, Kosaka H, Yukata K, Oba K et al (2008) Treatment of dysplastic osteoarthritis with labral tear by Chiari pelvic osteotomy: outcomes after more than 10 years follow-up. Arch Orthop Trauma Surg 128:103–109

    Article  PubMed  Google Scholar 

  22. Colton CL, Chiari K (1972) Osteotomy for acetabular dysplasia in young subjects. J Bone Joint Surg 54-B:578–589

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedics, Shahid Beheshti University, Tehran, Iran

    Mohsen Karami

  2. Sina Trauma Research Center, Tehran University of Medical Sciences, Tehran, Iran

    Dariush Gouran Savadkoohi, Ali Ghadirpoor & Sina Rahimpoor

  3. Sharif University of Technology, Tehran, Iran

    Mahmood Azghani & Farzam Farahmand

Authors
  1. Mohsen Karami
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dariush Gouran Savadkoohi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ali Ghadirpoor
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Sina Rahimpoor
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mahmood Azghani
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Farzam Farahmand
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mohsen Karami.

Additional information

An erratum to this article can be found at http://dx.doi.org/10.1007/s00264-009-0919-6

Rights and permissions

Reprints and permissions

About this article

Cite this article

Karami, M., Gouran Savadkoohi, D., Ghadirpoor, A. et al. A computer model for evaluating the osteotomy parameters of Chiari pelvic osteotomy. International Orthopaedics (SICOT) 34, 329–333 (2010). https://doi.org/10.1007/s00264-009-0769-2

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-009-0769-2

Keywords

Search

Navigation