« BackThe Journal of Arthroplasty
Article in Press

Acetabular Reconstruction With Chiari Pelvic Osteotomy:

Report of 2 Cases

  • Toshihiko Hara, MD

      Affiliations

    • Department of Orthopaedic Surgery, Kyushu Kosei Nenkin Hospital, Yahatanishi-ku, Kitakyushu, Japan
    • Corresponding Author InformationReprint requests: Toshihiko Hara, MD, 1-8-1 Kishinoura, Yahatanishi-ku, Kitakyushu 806-8501, Japan.
    • ,
  • Masayuki Maekawa, MD

      Affiliations

    • Maekawa Orthopaedic Clinic, Kokurakita-ku, Kitakyushu, Japan
    • ,
  • Shigekazu Kaminomachi, MD

      Affiliations

    • Kaminomachi Orthopaedic Clinic, Kamishirouzu, Kasuga, Japan
    • ,
  • Satoshi Ikemura, MD, PhD

      Affiliations

    • Department of Orthopaedic Surgery, Kyushu Kosei Nenkin Hospital, Yahatanishi-ku, Kitakyushu, Japan
    • ,
  • Tetsuro Nakamura, MD

      Affiliations

    • Department of Orthopaedic Surgery, Kyushu Kosei Nenkin Hospital, Yahatanishi-ku, Kitakyushu, Japan

Received 3 June 2011; accepted 28 September 2011. published online 30 November 2011.
Corrected Proof

Abstract 

We performed cementless total hip arthroplasty combined with acetabular reconstruction with Chiari pelvic osteotomy on 3 hips in 2 patients. This procedure increased the osseous coverage of the shell and decreased the load around the hip by medialization of the hip center. Osteosynthesis of the proximal and distal bone fragment was performed using a shell with screws. Nonunion between the proximal and distal fragments was not noticed to include the case with small contact area. Postoperative dislocation had not occurred in these cases as of 1 year after surgery. This method may be an effective solution for severe dysplasia and revision surgery.

Keywords: total hip arthroplasty, hip dysplasia, revision surgery, Chiari pelvic osteotomy, cementless shell, acetabular reconstruction

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

 The Conflict of Interest statement associated with this article can be found at doi:10.1016/j.arth.2011.09.028.

PII: S0883-5403(11)00521-3

doi:10.1016/j.arth.2011.09.028

« BackThe Journal of Arthroplasty

Article Tools

* Image Usage & Resolution