caa a22 4500 465733492 CHVBK 20180323111748.0 cr unu---uuuuu 170327e19900401xx s 000 0 eng 10.1007/BF00440570 doi (NATIONALLICENCE)springer-10.1007/BF00440570 Modified rotational acetabular osteotomy (RAO) for advanced osteoarthritis of the hip joint in the middle-aged person First report [Elektronische Daten] [H. Yano, S. Sano, Y. Nagata, K. Tabuchi, S. Okinaga, H. Seki, T. Suyama] Summary: Classical methods for pelvic osteotomy, such as those of Salter, Pemberton, Chiari, and Wagner, have been developed for reconstruction of the subluxed hip joint in children and young adults [5, 7, 12, 18, 25, 26, 30, 31, 37, 39]. Regarding pelvic osteotomy involving a middle-aged patient, however, there are not as many operation methods to consider, and it is difficult to choose the most suitable technique for alleviating advanced osteoarthritis [9, 18, 20, 26, 29, 32, 33, 35, 38]. Based on current practice, total hip replacement (THR) seems the accepted method, though it presents problems such as loosening, sinking, and infections; because of these factors physicians hesitate to recommend THR surgery, particularly if the patient is otherwise healthy and appears to have many good years ahead of him [1, 2, 4, 8, 10, 11, 15, 19, 21, 24, 28, 36]. As an alternative, we have been developing and improving the acetabular osteotomy, based on Tagawa's rotational acetabular osteotomy (RAO) [20, 35] and Wagner's acetabular osteotomy (type II) [38]. In this paper we present the results of a modified RAO operation performed on 50 middle-aged patients with an average age of 42 years and 2 months (31-61). The average follow-up was 3 years and 3 months (1-9 years). In 82% of patients the result was satisfactory (41 of 50 cases). A similar osteotomy technique has been used by Eppright [9] and Wagner [38]. We feel that our method achieves a more favorable result for an older patient with severe osteoarthritis, since both the surgery and the follow-up rehabilitation are more comprehensive. A modified acetabular osteotomy should not be regarded as merely an alternative to total hip replacement, but as the preferred choice for hip-joint reconstruction. Springer-Verlag, 1990 Yano H. Hospital of National Rehabilitation Center for the Disabled, Tokorozawa-city, Japan aut Sano S. Sanraku Hospital, Tokyo, Japan aut Nagata Y. Sanraku Hospital, Tokyo, Japan aut Tabuchi K. Kanto Chuo Hospital, Tokyo, Japan aut Okinaga S. Kanto Chuo Hospital, Tokyo, Japan aut Seki H. National Hospital of Kasumigaura, Tsuchiura, Japan aut Suyama T. Hospital of National Rehabilitation Center for the Disabled, Tokorozawa-city, Japan aut Archives of Orthopaedic and Trauma Surgery Springer-Verlag 109/3(1990-04-01), 121-125 0936-8051 109:3<121 1990 109 402 https://doi.org/10.1007/BF00440570 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00440570 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yano H. Hospital of National Rehabilitation Center for the Disabled, Tokorozawa-city, Japan aut NATIONALLICENCE 700 1- Sano S. Sanraku Hospital, Tokyo, Japan aut NATIONALLICENCE 700 1- Nagata Y. Sanraku Hospital, Tokyo, Japan aut NATIONALLICENCE 700 1- Tabuchi K. Kanto Chuo Hospital, Tokyo, Japan aut NATIONALLICENCE 700 1- Okinaga S. Kanto Chuo Hospital, Tokyo, Japan aut NATIONALLICENCE 700 1- Seki H. National Hospital of Kasumigaura, Tsuchiura, Japan aut NATIONALLICENCE 700 1- Suyama T. Hospital of National Rehabilitation Center for the Disabled, Tokorozawa-city, Japan aut NATIONALLICENCE 773 0- Archives of Orthopaedic and Trauma Surgery Springer-Verlag 109/3(1990-04-01), 121-125 0936-8051 109:3<121 1990 109 402 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer