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Similar Survival of Eccentric Rotational Acetabular Osteotomy in Patients Younger and Older Than 50 Years

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Clinical Orthopaedics and Related Research®

Abstract

Pelvic osteotomy for middle-aged patients with hip dysplasia remains controversial. We asked whether pelvic osteotomy would yield lower Harris hip scores and survivorship in older patients than in younger patients. We compared patients younger than 50 years (n = 123) with patients 50 years or older (n = 41). At last followup, the mean Harris hip scores improved similarly in both groups: from 60 to 89 points in the older group and from 63 to 92 points in the younger group. However, in patients with bilateral surgery, the older group tended to have lower mean scores than the younger group (86 versus 93 points, respectively). Fifteen-year survivorship with a Harris hip score less than 80 points as the end point was similar in the two groups (71% in older patients and 81% in younger patients). In patients with bilateral surgery, the 15-year survivorship was lower in the older group (66% in older patients and 83% in younger patients). The data suggest eccentric rotational osteotomy for older patients can provide lasting function in most patients. However, prudent selection of patients is required for older patients with bilateral osteoarthritis.

Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Acknowledgments

We thank Toshiki Iwase, Shinji Kitamura, Ken-ichi Yamauchi, Shinji Sakano, and Hisashi Iwata for assistance and advice concerning eccentric acetabular osteotomy.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya City, 466-8550, Japan

    Jin Yamaguchi MD, PhD, Yukiharu Hasegawa MD, PhD, Toshiya Kanoh MD, PhD, Taisuke Seki MD & Kiyoharu Kawabe MD, PhD

Authors
  1. Jin Yamaguchi MD, PhD
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  2. Yukiharu Hasegawa MD, PhD
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  3. Toshiya Kanoh MD, PhD
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  4. Taisuke Seki MD
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  5. Kiyoharu Kawabe MD, PhD
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Correspondence to Jin Yamaguchi MD, PhD.

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Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

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Yamaguchi, J., Hasegawa, Y., Kanoh, T. et al. Similar Survival of Eccentric Rotational Acetabular Osteotomy in Patients Younger and Older Than 50 Years. Clin Orthop Relat Res 467, 2630–2637 (2009). https://doi.org/10.1007/s11999-009-0866-y

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  • DOI: https://doi.org/10.1007/s11999-009-0866-y

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