TY  - JOUR
T1  - Correspondence
AU  - Chillag, Kim J.
AU  - McCarthy, James J.
AU  - Fox, John S.
AU  - Gurd, Alan R.
Y1  - 1998/02/01
N1  - 
JO  - The Journal of Bone & Joint Surgery
SP  - 301
EP  - 2
VL  - 80
IS  - 2
N2  - 
    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 was already 71.2 points preoperatively, the 62 per cent rate of excellent results, as determined by the Harris hip scores, is a modest improvement at best. Complicating the determination of whether or not innominate osteotomy was effective was the fact that eight (29 per cent) of the twenty-eight patients had a major concomitant procedure, including trochanteric advancement, subtrochanteric osteotomy, varus osteotomy, and core decompression. A total hip replacement performed after an innominate osteotomy is not as technically demanding as one performed after a femoral osteotomy; however, on the basis of the modest improvement in results and the number of patients who had a concomitant procedure, I find it difficult to recommend innominate osteotomy.

SN  - 0021-9355
M3  - doi: 
UR  - http://dx.doi.org/
ER  -