Summary
Rotational acetabular osteotomy was carried out in 127 patients (147 hips) with acetabular dysplasia, some of whom showed early or progressive degenerative changes. Complications occurring during and after operation were transient lesions of the lateral femoral cutaneous nerve in 20 patients, of the femoral nerve in 2, fracture of the acetabulum in 1, inadequate rotation of the acetabulum in 11, and infection in 3 patients. Later complications were breakage of Kirschner wires in 3, ectopic bone formation in 2 and acute chondrolysis in 3 patients. Sixty-six patients (69 hips) were followed for an average of 5 years and 4 months, and in most of them satisfactory results were achieved in spite of these complications.
Résumé
Une ostéotomie cotyloïdienne de rotation a été réalisée 147 fois sur 127 malades porteurs d'une dysplasie du cotyle, certains d'entre eux présentaient des lesions dégénératives débutantes ou évolutives. Les complications per ei post-opératoires suivantes ont été observées: 20 atteintes transitoires du nerf fémoro-cutané, 2 du nerf crural, 1 fracture du cotyle, 11 rotations incorrectes du cotyle, et 3 infections. Les complications tardives ont été 3 ruptures des broches de Kirschner, 2 ossifications périarticulaires et 3 chondrolyses aigües. Soixante-six opérés (69 hanches) ont été suivis en moyenne pendant 5 ans et 4 mois, chez la plupart d'entre eux des résultats satisfaisants ont été obtenus malgré ces diverses complications.
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Azuma, H., Taneda, H. Rotational acetabular osteotomy in congenital dysplasia of the hip. International Orthopaedics 13, 21–28 (1989). https://doi.org/10.1007/BF00266718
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DOI: https://doi.org/10.1007/BF00266718