Abstract
Aim: A retrospective review of the triple pelvic osteotomies performed between 1988 and 2002 identifying the factors that may predict a favourable outcome from surgery.
Method: A case note and x-ray review identifying various parameters that influence outcome.
Results: 30 osteotomies in 26 patients have been studied. 3male and 27 female patients have been identified. All patients were symptomatic prior to surgery complaining of pain and reduced exercise tolerance. Following surgery 21 patients were satisfied with their outcome and 9 patients had poor results.
The average age of patients with a good outcome was 20.9 years. The average age of patients with a poor outcome was 30.9 years.
There was no correlation between the correction of either the Sharp angle or the centre-edge angle and outcome. Sphericity of the head was unrelated to outcome. Obesity was associated with a poorer outcome in older patients.
Conclusion: Triple pelvic osteotomy provides a reliable method of improving symptoms in younger patients with dysplastic hips. An increased rate of failure should be expected in patients over thirty years of age.
The abstracts were prepared by Mr Peter Kay, Editorial Secretary. Correspondence should be addressed to British Hip Society, The Hip Centre, Wrightington Hospital, Appley Bridge, Wigan, Lancashire WN6 9EP.
