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At least 127 records · Page 7Linked to original sources
PubMed2003

Salter's innominate osteotomy for hip dysplasia in adolescents and young adults: results in 58 patients (69 osteotomies) at 4-12 years.

We reviewed 69 Salter's innominate osteotomies (SIO) in 58 patients with developmental dysplasia of the hip. Their mean age at operation was 22 (13-37) years. 24 hips were operated on in patients under 18 years of age (adolescents) and 45 hips in patients 18 years or over (adults). The mean follow-up was 7.6 (3.8-12) years. The mean Harris hip score (HHS)/Merle d'Aubigné score improved from 66 (38-97)/14.0 (8.0-18) points before surgery to 81 (22-100) points/15 (6-18) points at final review. Using the endpoints total hip arthroplasty and a Merle d'Aubigné score of < 13 and/or a HHS < 71, 13 of the 69 hips had failed and the cumulative survival rate was 0.79 (95% CI, 0.69-0.89) at 12 years. Their age at operation and the grade of preoperative coxarthrosis affected the clinical outcome. No deterioration in the mean grade of coxarthrosis was noted at final review, as compared to the condition before surgery. We conclude that the SIO is a well-standardized operation, with a low risk of complications, which gives encouraging results in adolescents and young adults with or without mild arthrosis. The operation may retard or even arrest the coxarthrosis.

Acetabulum↗
PubMedDate not supplied

Transtrochanteric anterior rotational osteotomy of the femoral head in the treatment of osteonecrosis affecting the hip: a new osteotomy operation.

"Transtrochanteric anterior rotational osteotomy of the femoral head" is a new approach to the treatment of idiopathic avascular necrosis of the femoral head. The results of 41 hips with a follow-up suggest that the procedure prevents the progression of the collapse of the femoral head and preserves joint surfaces. Cases with extensive lesions and with bilateral involvement require long-term follow-up investigations in a large series of cases. This method does not preclude prosthetic replacement at a later date. The method is also applicable to the treatment of slipped capital femoral epiphysis, partial defects of the femoral head in weight-bearing area due to trauma and tumor and osteoarthritis of the hip with localized changes in weight-bearing area.

Adult↗
PubMed1988

Combined Le Fort I osteotomy and oblique sliding osteotomy of the mandibular rami. A follow-up.

Bimaxillary surgery involving mandibular set-back and maxillary advancement has been performed on eight patients with severe prognathic mandibles and in two patients with pronounced retropositioning of the maxilla. The combined surgical approach turned out to give a very satisfying result both from the functional and aesthetic points of view. Whereas a certain skeletal horizontal relapse occurred in the mandible and a vertical one in the maxilla, the occlusal stability was maintained in all but one case. A good postoperative occlusion obviously retains the teeth in position. The soft tissue adaptation and final configuration postoperatively takes a long time, and should if possible be subjected to more sophisticated analysis before surgery. The bimaxillary approach with step-wise surgery, using an intermediate wafer is, in our opinion, a good solution to marked malpositions and in many cases preferable to single jaw surgery.

Adult↗