Good long-term outcomes of the hip Chiari osteotomy in adolescents and adults with hip dysplasia: a systematic review.
Background and purpose -- The Chiari osteotomy was a regular treatment for developmental hip dysplasia before it became mostly reserved as a salvage therapy. However, the long-term survival of the Chiari osteotomy has not been systematically investigated. We investigated the survival time of the Chi...
| Publicado en: | Acta Orthopaedica Vol. 93; pp. 296 - 303 |
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| Autores principales: | , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Medical Journals Sweden AB
2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162614289&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162614289 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17453674 1BVL jtl: Acta Orthopaedica issn: 17453674 maglogo: N pubinfo: dt: 2022 vid: 93 pid: 59195 pub: Medical Journals Sweden AB artinfo: ui: 162614289 162614289 162614289 10.2340/17453674.2022.2031 162614289 ppf: 296 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Good long-term outcomes of the hip Chiari osteotomy in adolescents and adults with hip dysplasia: a systematic review. aug: au: WILLEMSEN, Koen NIEMEYER, Menco J. S. HARLIANTO, Netanja I. SADIQI, Said SEEVINCK, Peter R. SAKKERS, Ralph J. B. WEINANS, Harrie VAN DER WAL, Bart C. H. affil: Department of Orthopedics, University Medical Center Utrecht, Utrecht sug: subj: Treatment Outcomes Hip Osteotomy Methods Osteotomy Methods Hip Dislocation Human Systematic Review Adolescence Young Adult Adult Middle Age Aged Aged, 80 and Over Arthroplasty, Replacement, Hip Kaplan-Meier Estimator Osteoarthritis Survival Rate PubMed Embase Cochrane Library Salvage Therapy Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over ab: Background and purpose -- The Chiari osteotomy was a regular treatment for developmental hip dysplasia before it became mostly reserved as a salvage therapy. However, the long-term survival of the Chiari osteotomy has not been systematically investigated. We investigated the survival time of the Chiari osteotomy until conversion to total hip arthroplasty (THA) in patients with primary hip dysplasia, and factors which correlated with survival, complications, and the improvement measured in radiographic parameters. Patients and methods -- Studies were included when describing patients (> 16 years) with primary hip dysplasia treated with a Chiari osteotomy procedure with 8 years' follow-up. Data on patient characteristics, indications, complications, radiographic parameters, and survival time (endpoint: conversion to THA) were extracted. Results -- 8 studies were included. The average postoperative center--edge angle, acetabular head index, and Sharp angle were generally restored within the target range. 3 studies reported Kaplan-Meier survival rates varying from 96% at 10 years to 72% at 20 years' follow-up. Negative survival factors were high age at intervention and pre-existing advanced preoperative osteoarthritis. Moreover, reported complications ranged between 0% and 28.3 %. Interpretation -- The Chiari osteotomy has high reported survival rates and is capable of restoring radiographic hip parameters to healthy values. When carefully selected by young age, and a low osteoarthritis score, patients benefit from the Chiari osteotomy with satisfactory survival rates. The position of the Chiari osteotomy in relation to the periacetabular osteotomies should be further (re-)explored. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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