Chiari osteotomy of the pelvis: a long-term study

We evaluated 104 osteotomies of the pelvis after an average of 18 years: 48% of patients had hip joint pain, 15% had low back pain, 41% had restricted movement, 74% had a positive Trendelenburg sign, and 77% had limb length discrepancy greater than 1 cm. We also followed the anti-Chiari effect, the...

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Bibliographic Details
Published inJournal of pediatric orthopaedics Vol. 10; no. 1; p. 21
Main Authors Rejholec, M, Stryhal, F, Rybka, V, Popelka, S
Format Journal Article
LanguageEnglish
Published United States 01.01.1990
Subjects
Adolescent
Adult
Biomechanical Phenomena
Child
Child, Preschool
Female
Follow-Up Studies
Hip Dislocation, Congenital - diagnostic imaging
Hip Dislocation, Congenital - surgery
Humans
Male
Middle Aged
Osteotomy - methods
Osteotomy - standards
Pain - diagnostic imaging
Pain - epidemiology
Pain - physiopathology
Postoperative Complications - diagnostic imaging
Postoperative Complications - epidemiology
Postoperative Complications - physiopathology
Radiography
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Summary:We evaluated 104 osteotomies of the pelvis after an average of 18 years: 48% of patients had hip joint pain, 15% had low back pain, 41% had restricted movement, 74% had a positive Trendelenburg sign, and 77% had limb length discrepancy greater than 1 cm. We also followed the anti-Chiari effect, the influence of the osteotomy on narrowing the birth canal, and deterioration of the opposite acetabulum. We showed that the optimum indications for Chiari osteotomy are severe instability of the hip joint and an irregular femoral head.
ISSN:0271-6798
DOI:10.1097/01241398-199010010-00005