O2155 PELVIC OSTEOTOMY, INTERTROCHANTERIC OSTEOTOMY AND DEBRIDEMENT OF THE HIP – AN ALTERNATIVE OF THE THR IN YOUNG PATIENTS

Abstract

Aims: In younger patients with dysplastic hip we come to the polemic Ð THR or joint-saving operation? The purpose of this presentation is to introduce the indications and the results of joint-saving operations as performed at our department. Methods: We analyzed patients with dysplastic hip, who undergone a joint-saving surgery at our department in past years 1997 Ð 2002. As those were younger patients, we indicated osteotomy Ð Chiari, Salter, Dega as well as pelvic osteotomy with the use of bone allograft. In all the patients we also performed a debridement and intertrochanteric osteotomy. In patients with signs of femoral head necrosis we performed transtrochanteric rotation osteotomy sec Sugioka. The postoperative following of the patients was 6 months to 5 years. Results: In years 1997 Ð 2002 we performed 7500 operations, 62 of them were pelvic osteotomies combined with intertrochanteric osteotomy and debridement of the hip. The age of patients varied between 18 and 68 years, 37 of them were women and 25 men. Oldest men was 58, youngest 24 years, oldest woman was 68 years and the youngest one was 18 years old. In 22 patients (35,5%) the results were very good, in 29 patients (46,8%) patients the results were good, in 3 patients (4,8%) the results were not sufþcient. In 8 patients (12,9%) the state remained unchanged. Conclusions: The results of above mentioned operations performed at The 2nd Department of Orthopaedic at the Faculty of Medicine of Comenius University, Bratislava, show good results. We continue indicating the combined one-stage osteotomy of the pelvis with intertrochanteric osteotomy and debridement of the hip.