Eccentric Rotational Acetabular Osteotomy Using Computed Navigation Guidance for Developmental Dysplasia of the Hip, Sacroiliac Fusion, and Femoroacetabular Impingement Owing to Acetabular Retroversion: A Case Report.
Computer-assisted
Femoroacetabular impingement
Hip dysplasia
Osteotomy
Sacroiliac joint
Journal
Orthopaedic surgery
ISSN: 1757-7861
Titre abrégé: Orthop Surg
Pays: Australia
ID NLM: 101501666
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
revised:
01
10
2020
received:
26
02
2020
accepted:
10
12
2020
pubmed:
23
9
2021
medline:
1
12
2021
entrez:
22
9
2021
Statut:
ppublish
Résumé
Developmental dysplasia of the hip (DDH) is the main factor that causes secondary osteoarthritis of the hip (hip OA). Acetabular retroversion results in pincer-type femoroacetabular impingement (FAI), and this is also known to cause secondary hip OA. However, few cases of DDH with acetabular retroversion have been reported, and there is no definite opinion on the optimal treatment. We report a rare case of DDH and FAI owing to acetabular retroversion and dysostosis of the sacroiliac joint that was treated with eccentric acetabular rotational osteotomy (ERAO) using navigation guidance. A 27-year-old woman presented with DDH and acetabular retroversion with FAI and dysostosis of the sacroiliac joint on the contralateral side. We performed ERAO using computed navigation guidance and improved the coverage and retroversion of the acetabulum. The acetabular anteversion angle improved from 1° retroversion to 9° anteversion after surgery, the center edge angle improved from 18° to 43°, and the acetabular head index improved from 69% to 93%. The cam lesion of the femur was resected. The Harris Hip Score improved from 55.7 to 100 points at the final examination 2 years after surgery. In this rare case of DDH and FAI, ERAO using computed navigation guidance accurately improved the coverage and retroversion of the acetabulum.
Sections du résumé
BACKGROUND
BACKGROUND
Developmental dysplasia of the hip (DDH) is the main factor that causes secondary osteoarthritis of the hip (hip OA). Acetabular retroversion results in pincer-type femoroacetabular impingement (FAI), and this is also known to cause secondary hip OA. However, few cases of DDH with acetabular retroversion have been reported, and there is no definite opinion on the optimal treatment. We report a rare case of DDH and FAI owing to acetabular retroversion and dysostosis of the sacroiliac joint that was treated with eccentric acetabular rotational osteotomy (ERAO) using navigation guidance.
CASE PRESENTATION
METHODS
A 27-year-old woman presented with DDH and acetabular retroversion with FAI and dysostosis of the sacroiliac joint on the contralateral side. We performed ERAO using computed navigation guidance and improved the coverage and retroversion of the acetabulum. The acetabular anteversion angle improved from 1° retroversion to 9° anteversion after surgery, the center edge angle improved from 18° to 43°, and the acetabular head index improved from 69% to 93%. The cam lesion of the femur was resected. The Harris Hip Score improved from 55.7 to 100 points at the final examination 2 years after surgery.
CONCLUSIONS
CONCLUSIONS
In this rare case of DDH and FAI, ERAO using computed navigation guidance accurately improved the coverage and retroversion of the acetabulum.
Identifiants
pubmed: 34549883
doi: 10.1111/os.12919
pmc: PMC8528971
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
2177-2181Informations de copyright
© 2021 The Authors. Orthopaedic Surgery published by Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd.
Références
Skeletal Radiol. 2012 Nov;41(11):1411-8
pubmed: 22327395
J Bone Joint Surg Am. 2010 Apr;92(4):895-903
pubmed: 20360513
J Bone Joint Surg Am. 2014 Dec 3;96(23):1975-82
pubmed: 25471912
Clin Orthop Relat Res. 2008 Mar;466(3):677-83
pubmed: 18264856
J Bone Joint Surg Am. 2006 Feb;88(2):372-9
pubmed: 16452750
Clin Orthop Relat Res. 2001 Mar;(384):189-97
pubmed: 11249165
Clin Orthop Relat Res. 2008 Jul;466(7):1633-44
pubmed: 18449617
J Bone Joint Surg Am. 2003 Feb;85(2):278-86
pubmed: 12571306
J Med Case Rep. 2019 Jan 11;13(1):4
pubmed: 30630530
J Orthop Sci. 2010 Sep;15(5):626-31
pubmed: 20953923
Ann Rheum Dis. 1957 Dec;16(4):494-502
pubmed: 13498604
Hip Int. 2013 Mar-Apr;23(2):212-7
pubmed: 23417531
Clin Orthop Relat Res. 2003 Dec;(417):112-20
pubmed: 14646708
J Comput Assist Tomogr. 1991 Jan-Feb;15(1):115-20
pubmed: 1987179