scholarly journals Chiari Osteotomy Plus Shelf Procedure in Neuromuscular Hip Dysplasia

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Garcia Bradley M ◽  
Scharf Mike ◽  
Georgiadis Andrew G ◽  
Seeley Mark A
2013 ◽  
Vol 141 (9-10) ◽  
pp. 710-714 ◽  
Author(s):  
Nemanja Slavkovic ◽  
Zoran Vukasinovic ◽  
Milan Apostolovic ◽  
Boris Vukomanovic

Chiari pelvic osteotomy is a surgical procedure having been performed for almost sixty years in patients with the insuffcient coverage of the femoral head. It is most frequently used in young patients with dysplastic acetabular sockets as a part of developmental hip dysplasia. Even though performance of the Chiari osteotomy is associated with positive therapeutical results, above all, its main goal is to delay inevitable degenerative changes. Original surgical technique has been modified and improved over time. Nevertheless, the basic idea has remained unchanged - increasing of the femoral head coverage by medial displacement of the distal part of the pelvis along with capsular interpositioning. Given the complexity of operation, the complication percentage is rather low. Chiari pelvic osteotomy has lost its actuality and importance during this past six decades. The role of Chiari pelvic osteotomy has been considerably taken over by other more efficient and more lasting surgical procedures. Nonetheless, Chiari pelvic osteotomy is still present in modern orthopedic practice, above all as ?salvage? osteotomy.


2000 ◽  
Vol 20 (6) ◽  
pp. 740-744 ◽  
Author(s):  
H. C. Fong ◽  
W. Lu ◽  
Y. H. Li ◽  
J. C. Y. Leong

1995 ◽  
Vol 5 (3-4) ◽  
pp. 108-112
Author(s):  
M. Innocenti ◽  
A. Capone ◽  
R. Passalacqua ◽  
G. Scoccianti

The treatment of residual hip dysplasia can be carried out using different methods which range from T.H.R. to the various kinds of osteotomy. Among these, Chiari osteotomy still holds a prominent position, although new techniques have decreased its indication. Following the results of 13 years’ experience with this procedure, the Authors confirm that Chiari osteotomy permits the reduction of the acetabular inclination and a wider articular coverage of the femoral head on all planes. Nowadays, this long experience together with an accurate knowledge of the biomechanical effects of the procedure should be able to guide the orthopaedic surgeon, with adequate accuracy, to the choice and the indications of this complex but effective procedure.


Author(s):  
H. C. Fong ◽  
W. Lu ◽  
Y. H. Li ◽  
J. C. Y. Leong

2010 ◽  
Vol 469 (1) ◽  
pp. 237-243 ◽  
Author(s):  
Kenji Tokunaga ◽  
Nadim Aslam ◽  
Rad Zdero ◽  
Emil H. Schemitsch ◽  
James P. Waddell

2000 ◽  
Vol 117 (3) ◽  
pp. 97-103 ◽  
Author(s):  
M. Leppänen ◽  
K. Mäki ◽  
J. Juga ◽  
H. Saloniemi

1998 ◽  
Vol 11 (02) ◽  
pp. 85-93 ◽  
Author(s):  
Joanne R. Cockshutt ◽  
H. Dobson ◽  
C. W. Miller ◽  
D. L. Holmberg ◽  
Connie L. Taves ◽  
...  

SummaryA retrospective case series study was done to determine the long-term outcome of operations upon dogs treated for canine hip dysplasia by means of a triple pelvic osteotomy (TPO). Twentyfour dogs with bilateral hip dysplasia, that received a unilateral TPO between January 1988 and June 1995, were re-examined at the Ontario Veterinary College. The assessment included physical, orthopedic and lameness examinations, standard blood work, pelvic radiographs and force plate gait analysis. They were compared to bilaterally dysplastic dogs that had not been treated, and also to normal dogs. Force plate data analysis demonstrated a significant increase in peak vertical force (PVF) and mean vertical force over stance (MVF) in the limb that underwent surgical correction by means of a TPO, when compared to the unoperated hip. It was determined that performing a unilateral TPO on a young dysplastic dog resulted in greater forces and weight bearing being projected through the TPO corrected limb when compared to the unoperated limb.Dogs with bilateral hip dysplasia treated with a unilateral triple pelvic osteotomy (TPO) were assessed by force plate gait analysis, radiographs and orthopedic examination. There was a significant increase in hip Norberg angles over time, although degenerative changes did progress. Limbs that had been operated upon had significantly greater peak and mean ground reaction forces than limbs that had not received an operation.


1997 ◽  
Vol 10 (02) ◽  
pp. 69-74 ◽  
Author(s):  
G. K. Smith ◽  
M. G. Conzemius ◽  
H. M. Saunders ◽  
C. M. Hill ◽  
T. P. Gregor ◽  
...  

SummaryA few investigations in the 1960’s were performed to document the effect of exogenous oestrogens on development of hip dysplasia. These projects concluded that oestrogen administration caused a significant increase in hip dysplasia. Additionally, the Orthopaedic Foundation for Animals (OFA) has recommended that bitches should not have hip evaluation for certification during oestrus, due to the possibility of increased coxofemoral joint laxity. The purpose of this project was to determine if physiological fluctuations of oestrogen and progesterone throughout the oestrus cycle significantly affected coxofemoral joint laxity. Nine bitches were evaluated through a single oestrus cycle. Although significant fluctuations of oestrogen and progesterone occurred throughout the phases of the oestrus cycle, neither statistically nor clinically significant changes in coxofemoral joint laxity were documented.A prospective study documented the effect of fluctuations of hormone levels throughout the oestrus cycle on coxofemoral joint laxity in nine dogs. Although oestrogen and progesterone levels changed significantly throughout the oestrus cycle, neither statistically nor clinically significant changes in hip laxity were observed.


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