Rotational acetabular osteotomy for acetabular dysplasia of the hip with a giant acetabular bone cyst

A case report

Mitsuhiro Morita, Harumoto Yamada, Osamu Hemmi, Kyosuke Fujikawa

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

In acetabular dysplasia of the hip joint accompanied by a giant acetabular bone cyst, rotational acetabular osteotomy may cause serious complications, such as bone necrosis after surgery or fracture of the fragile acetabulum during the operation. In a patient with this condition, we performed a two-stage operation: first, autogenous bone grafting supplemented with hydroxyapatite filling, then rotational acetabular osteotomy (after new bone formation had been assured). Radiographs and CT scans showed favorable fusion of the grafted bone. Some 18 months after the second operation, arthrograms showed no inflow of contrast medium from the articular cavity into the bone cyst region, although this had been observed before treatment. Thus, an effective remodeling of bony congruency was indicated in the mobile acetabulum 5 years after the second operation. This two-stage operation appears to be useful for correcting acetabular dysplasia accompanied by a giant bone cyst and to carry a reduced risk of serious complications, such as deterioration of the articular surface of the acetabulum or necrosis of the translocated acetabulum.

Original languageEnglish
Pages (from-to)99-102
Number of pages4
JournalJournal of Orthopaedic Science
Volume9
Issue number1
DOIs
Publication statusPublished - 01-01-2004

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Bone Cysts
Acetabulum
Hip Dislocation
Osteotomy
Joints
Osteonecrosis
Bone Transplantation
Hip Joint
Durapatite
Osteogenesis
Contrast Media
Necrosis
Bone and Bones
Therapeutics

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine

Cite this

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abstract = "In acetabular dysplasia of the hip joint accompanied by a giant acetabular bone cyst, rotational acetabular osteotomy may cause serious complications, such as bone necrosis after surgery or fracture of the fragile acetabulum during the operation. In a patient with this condition, we performed a two-stage operation: first, autogenous bone grafting supplemented with hydroxyapatite filling, then rotational acetabular osteotomy (after new bone formation had been assured). Radiographs and CT scans showed favorable fusion of the grafted bone. Some 18 months after the second operation, arthrograms showed no inflow of contrast medium from the articular cavity into the bone cyst region, although this had been observed before treatment. Thus, an effective remodeling of bony congruency was indicated in the mobile acetabulum 5 years after the second operation. This two-stage operation appears to be useful for correcting acetabular dysplasia accompanied by a giant bone cyst and to carry a reduced risk of serious complications, such as deterioration of the articular surface of the acetabulum or necrosis of the translocated acetabulum.",
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Rotational acetabular osteotomy for acetabular dysplasia of the hip with a giant acetabular bone cyst : A case report. / Morita, Mitsuhiro; Yamada, Harumoto; Hemmi, Osamu; Fujikawa, Kyosuke.

In: Journal of Orthopaedic Science, Vol. 9, No. 1, 01.01.2004, p. 99-102.

Research output: Contribution to journalArticle

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