Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

We followed up 76 consecutive hips with symptomatic acetabular dysplasia treated by acetabular shelf augmentation for a mean period of 11 years. Survival analysis using conversion to hip replacement as an end-point was 86% at five years and 46% at ten years. Forty-four hips with slight or no narrowing of the joint space pre-operatively had a survival of 97% at five and 75% at ten years. This was significantly higher (p = 0.0007) than that of the 32 hips with moderate or severe narrowing of the joint-space, which was 76% at five and 22% at ten years. There was no significant relationship between survival and age (p = 0.37) or the pre- and post-operative centre-edge (p = 0.39) and acetabular angles (p = 0.85). Shelf acetabuloplasty is a reliable, safe procedure offering medium-term symptomatic relief for adults with acetabular dysplasia. The best results were achieved in patients with mild and moderate dysplasia of the hip with little arthritis.

Type

Journal article

Journal

The Journal of bone and joint surgery. British volume

Publication Date

09/2005

Volume

87

Pages

1197 - 1202

Addresses

Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford OX3 7LD, England, UK.

Keywords

Acetabulum, Humans, Osteoarthritis, Hip, Hip Dislocation, Congenital, Postoperative Complications, Treatment Outcome, Arthroplasty, Replacement, Hip, Reoperation, Severity of Illness Index, Survival Analysis, Follow-Up Studies, Adolescent, Adult, Middle Aged, Female, Male