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- Title
Periacetabular osteotomy to treat residual dysplasia in adolescents and young adults: indications, complications, results.
- Authors
Millis, M. B.; McClincy, M.
- Abstract
Purpose Discuss current indications, techniques, complications and results of periacetabular osteotomy (PAO) to treat the adolescent and young adult with symptomatic acetabular dysplasia or the rare minimally symptomatic patient with dysplasia with a guarded prognosis without PAO surgery. Methods Review of clinical experience with PAO at our and other high-volume centres. Results At a mean follow-up of 18 years after PAO, more than 75% of hips are preserved. At 30-year follow-up, longest term reported series notes survival of one-third of hips. Conclusion Both middle- and long-term results suggest ef- ficacy of PAO in improving function and prognosis in most symptomatic adolescent and young adult patients with spherically congruous pre-arthritic dysplastic hips.
- Subjects
OSTEOTOMY; ORTHOPEDIC surgery; CELLULAR pathology; HIP surgery; HIP joint abnormalities; TOTAL hip replacement; ARTHROPLASTY
- Publication
Journal of Children's Orthopaedics (British Editorial Society of Bone & Joint Surgery), 2018, Vol 12, Issue 4, p349
- ISSN
1863-2521
- Publication type
Article
- DOI
10.1302/1863-2548.12.180068