The article “Innominate Osteotomy in Adolescents and Adults Who Have Acetabular Dysplasia” (78-A: 1455–1461, Oct. 1996), by McCarthy et al., was of particular interest to me as I see a large number of patients who have osteoarthrosis secondary to dysplasia of the hip and I have been very discouraged by the results of proximal femoral and pelvic osteotomies in such patients. The authors reported the results of thirty-one procedures. The postoperative radiographs did not show improvement but rather showed a decrease in the minimum joint space. They reported a modest improvement in the mean Harris hip score from 71.2 points preoperatively to 88.3 points postoperatively. Given that the mean hip score …

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