Chiari Pelvic Osteotomy Research Articles

Valgus osteotomy in severe osteoarthritis of the hip.

The Journal of Bone and Joint Surgery. British volumeVol. 61-B, No. 4 ArticlesFree AccessValgus osteotomy in severe osteoarthritis of the hipF Langlais, JL Roure, P MaquetF LanglaisSearch for more papers by this author, JL RoureSearch for more papers by this author, P MaquetSearch for more papers by this authorPublished Online:1 Nov 1979https://doi.org/10.1302/0301-620X.61B4.500752AboutSectionsPDF/EPUB ToolsAdd to FavouritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InRedditEmail FiguresReferencesRelatedDetailsCited ByProximal Femoral Osteotomy28 January 2020Clinical Results and Prognostic Factors for Outcomes of Valgus Femoral Osteotomy Combined with Chiari Pelvic Osteotomy for Osteoarthritis of the Hip6 April 2017 | JBJS Open Access, Vol. 2, No. 2Etiopathogenesis of OsteoarthritisMedical Clinics of North America, Vol. 93, No. 1Etiopathogenesis of OsteoarthritisRheumatic Disease Clinics of North America, Vol. 34, No. 3Awareness and use of intertrochanteric osteotomies in current clinical practice. An international survey13 April 2007 | International Orthopaedics, Vol. 32, No. 1The Role of Acetabular and Femoral Osteotomies in Reconstructive Surgery of the HipClinical Orthopaedics and Related Research, Vol. 441, No. &NA;Twenty-Five Years Followup of Patients Who Had Valgus Osteotomy for Arthritic HipsClinical Orthopaedics and Related Research, Vol. 426Proximal Femoral Osteotomy as the Primary Operation for Young Adults Who Have Osteoarthrosis of the Hip*The Journal of Bone & Joint Surgery, Vol. 80, No. 10Quantifying Osteoarthrotic Hip IncongruenceClinical Orthopaedics and Related Research, Vol. 343Coexistence of dissimilar metals after conversion of intertrochanteric osteotomy to total hip arthroplasty31 August 2016 | Acta Orthopaedica Scandinavica, Vol. 68, No. sup275Joint-preserving operations for elderly patients with advanced and late-stage coxarthritisArchives of Orthopaedic and Trauma Surgery, Vol. 113, No. 6The surgical management of painBaillière's Clinical Rheumatology, Vol. 1, No. 1Adult Congenital Acetabular Dysplasia with Subluxation of the Hip JointHypothesis: Joints can healSeminars in Arthritis and Rheumatism, Vol. 13, No. 3Results of Intertrochanteric Osteotomy in the Treatment of Osteoarthritis of the HipOrthopedic surgeryArthritis & Rheumatism, Vol. 26, No. 3 Vol. 61-B, No. 4 Metrics Downloaded 124 times History Published online 1 November 1979 Published in print 1 November 1979 InformationCopyright © 1979, The British Editorial Society of Bone and Joint Surgery: All rights reservedPDF download

Management of Osteonecrosis in Sickle-Cell Anemia and its Genetic Variants

Osteonecrosis secondary to sickling disorders differs from most other forms of osteonecrosis, because vaso-occlusive episodes generally involve many other organs. For this reason optimum management and care of these patients requires a team approach. The spectrum of clinical symptoms and bone involvement varies widely from one patient to another, even among patients with the same abnormal hemoglobin patterns. Although the efficacy of conservative therapeutic measures has not been definitely established, these may be all that can be offered because of the patient's other problems. Before contemplating surgery, the surgical and anesthetic risks should be evaluated and measures taken to prevent complications. The varus osteotomy, Chiari pelvic osteotomy, prosthetic or total hip replacement, and the Neer shoulder prosthesis may benefit a limited number of carefully selected patients.

An Evaluation of Early Results

An early evaluation of the Chiari pelvic osteotomy done on 19 hips in 16 patients is presented. Indications were: (1) congenital hip dysplasia, where conservative or other surgical treatment had failed or where the patient's age contraindicted conservative treatment, and (2) hypoplastic hip joints associated with neuromuscular disorders. Results were classified according to pain, limp, Trendelenburg sign, range of motion, and radiographic appearance. Follow-up, averaging 16 months, revealed the relief of pain and an increase of hip motion in many cases. However, the limp and positive Trendelenburg sign frequently persisted. The overall success rate was 69%.

CRITICAL EVALUATION OF THE SHELF OPERATION OF THE HIP JOINT

Recently in Japan, it has become a common practice for children to have health consultation during infancy, and this practice is being carried out quite extensively. It cannot be denied that this practice has not only contributed to the early detection of congenital dislocation of the hip joint, but has greatly improved the results of treatment. However, taking the hereditary and fatal deficiency of development in congenital dislocation into consideration, results are far from ideal.At the Department of Orthopedic Surgery, Kurume University Hospital, the scheme as reported by Seddon in 1951 is still followed, but many problems remain to be solved, such as the changes of the femoral head and neck, residual subluxation, hypoplasia of the acetabular roof and secondary osteoarthritis. Particularly, after the age of puberty, hypoplasia of the acetabular roof is considered to be the most important factor causing secondary coxarthrosis which interferes with the function of the hip joint. Hitherto, various interpretations and methods have been introduced concerning the treatment of hypoplasia of the acetabular roof. However, results have not always been satisfactory. Recently, Chiari's pelvic osteotomy has been widely adopted in Japan for this type of operation. The authors have critically reviewed the results of the shelf operation performed at this department.