Clinical Findings of Chiari Pelvic Osteotomy with Arthroscopic Debridement for Osteoarthritis of Hip

DOI 8 References
  • Arishima Yoshiya
    Department of Orthopaedic Surgery, Kagoshima Graduate School of Medical and Dental Sciences, Kagoshima, Japan
  • Kawabata Hideyuki
    Department of Orthopaedic Surgery, Kagoshima Graduate School of Medical and Dental Sciences, Kagoshima, Japan
  • Nagamine Tomonori
    Department of Orthopaedic Surgery, Kagoshima Graduate School of Medical and Dental Sciences, Kagoshima, Japan
  • Kakoi Hironori
    Department of Orthopaedic Surgery, Kagoshima Graduate School of Medical and Dental Sciences, Kagoshima, Japan
  • Yokouchi Masahiro
    Department of Orthopaedic Surgery, Kagoshima Graduate School of Medical and Dental Sciences, Kagoshima, Japan
  • Hamada Hiromi
    Department of Orthopaedic Surgery, Kagoshima Graduate School of Medical and Dental Sciences, Kagoshima, Japan
  • Fujimoto Yusuke
    Department of Orthopaedic Surgery, Kagoshima Graduate School of Medical and Dental Sciences, Kagoshima, Japan
  • Ishido Yasuhiro
    Department of Orthopaedic Surgery, Kagoshima Graduate School of Medical and Dental Sciences, Kagoshima, Japan
  • Ijiri Kosei
    Department of Orthopaedic Surgery, Kagoshima Graduate School of Medical and Dental Sciences, Kagoshima, Japan
  • Komiya Setsuro
    Department of Orthopaedic Surgery, Kagoshima Graduate School of Medical and Dental Sciences, Kagoshima, Japan

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Other Title
  • キアリ骨盤骨切り術における股関節鏡所見

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Abstract

We reviewed the clinical findings of Chiari pelvic osteotomy with arthroscopic debridement for osteoarthritis of the hip. Ten patients were available for evaluation. They were all female whose age ranged from 27 to 52 years at surgery. Three cases showed progress and the others showed end stage on roentgenogram before surgery. JOA score and arthroscopic findings were evaluated after surgery, compared with preoperative state. Arthroscopic findings were evaluated by Tanedas classification in our study.<BR>JOA score was improved from 48 points before surgery to 74 points after surgery, especially in the pain score. Arthroscopic findings showed high-grade defect of cartilage and tear of labrum in almost cases before surgery. Seven cases were at stage 5, and the others were at stage 4 according to Tanedas classification before surgery. At the second look operation, only two cases improved in terms of Tanedas classification.<BR>The results suggest that Chiari pelvic osteotomy with arthroscopic debridement may have some effect on reducing pain compared with only osteotomy. However, arthroscopic findings showed little improvement in almost cases. Furthermore study was necessary to find the mechanism of pain relief after Chiari pelvic osteotomy.

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