Mean 20-year followup of Bernese periacetabular osteotomy

Steppacher, SD; Tannast, M; Ganz, R; Siebenrock, KA (2008). Mean 20-year followup of Bernese periacetabular osteotomy. Clinical orthopaedics and related research, 466(7), pp. 1633-44. Heidelberg: Springer-Verlag 10.1007/s11999-008-0242-3

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The goal of the Bernese periacetabular osteotomy is to correct the deficient acetabular coverage in hips with developmental dysplasia to prevent secondary osteoarthrosis. We determined the 20-year survivorship of symptomatic patients treated with this procedure, determined the clinical and radiographic outcomes of the surviving hips, and identified factors predicting poor outcome. We retrospectively evaluated the first 63 patients (75 hips) who underwent periacetabular osteotomy at the institution where this technique was developed. The mean age of the patients at surgery was 29 years (range, 13-56 years), and preoperatively 24% presented with advanced grades of osteoarthritis. Four patients (five hips) were lost to followup and one patient (two hips) died. The remaining 58 patients (68 hips) were followed for a minimum of 19 years (mean, 20.4 years; range, 19-23 years) and 41 hips (60%) were preserved at last followup. The overall mean Merle d'Aubigné and Postel score decreased in comparison to the 10-year value and was similar to the preoperative score. We observed no major changes in any of the radiographic parameters during the 20-year postoperative period except the osteoarthritis score. We identified six factors predicting poor outcome: age at surgery, preoperative Merle d'Aubigné and Postel score, positive anterior impingement test, limp, osteoarthrosis grade, and the postoperative extrusion index. Periacetabular osteotomy is an effective technique for treating symptomatic developmental dysplasia of the hip and can maintain the natural hip at least 19 years in selected patients. LEVEL OF EVIDENCE: Level III, prognostic study.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Steppacher, Simon Damian; Tannast, Moritz; Ganz, Reinhold and Siebenrock, Klaus-Arno

ISSN:

0009-921X

ISBN:

18449617

Publisher:

Springer-Verlag

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:03

Last Modified:

22 Oct 2019 18:15

Publisher DOI:

10.1007/s11999-008-0242-3

PubMed ID:

18449617

Web of Science ID:

000256658900017

BORIS DOI:

10.7892/boris.27487

URI:

https://boris.unibe.ch/id/eprint/27487 (FactScience: 107876)

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