Table 3.
Radiographic outcomes, ROM outcomes, and complications reported from studies evaluating rotational acetabular osteotomy
| Study | Mean change in acetabular inclination | Mean anterior center-edge angle correction | Mean lateral center-edge angle correction | Medialization HLI; head lateralization index LI; lateralization index | Reduction of ROM (Score) | Complications |
|---|---|---|---|---|---|---|
| Nakamura et al. [35] (1998) | 27° | NA | 38° | NA | –0.5 (5.4−4.9) | Major (9: 6%); bone necrosis and delayed union of the acetabular fragment (4) severe destruction of the acetabular fragment (2), penetration of osteotome (2), displacement of the acetabular fragment soon after the surgery (1) Moderate (2:1%); pelvic fracture at donor site (2) |
| Takatori et al. [53] (2000) | 29° | NA | 41° | NA | −1.2 (5.2–4.0) | Major (5:18%); snapping of the rectus femoris tendon (1), chondrolysis (1), additional intertrochanteric valgus osteotomy (3) |
| Takatori et al. [54] (2001) | 31° | NA | 38° | NA | −0.9 (5.8–4.9) | None |
| Nozawa et al. [41] (2002) | Stage 1; 28° Stage 2; 24° Stage 3; 27° |
NA | 34° 37° 34° |
2 mm 1 mm 7 mm |
JOA-1 (19–18) JOA-1 (20–19) JOA-1 (18–17) |
Major (2:4%); loss of cover after removal of the Kirschner wire (2) Minor (4:8%); dysesthesia in the distribution of the lateral femoral cutaneous nerve (4) |
| Hasegawa et al. [15] (2002) | NA | NA | Stage 1; 39° Stage 2; 38° Stage 3; 38° |
5 mm 5 mm 3 mm |
NA | Moderate (5:4%); hematoma (5) Minor (4:3%); heterotopic bone (3), injury of lateral femoral cutaneous nerve (1) |
| Yasunaga et al. [65] (2003) | 19° (older) 25° (younger) |
NA | 34° 37° |
HLI; 0.03 (0.67–0.64) HLI; 0.05 (0.66–0.61) |
−0.1 (5.8–5.7) 0 (5.8–5.8) |
None |
| Yasunaga et al. [63] (2004) | 27° | NA | 36° | HLI; 0.04 (0.66–0.62) | −0.1 (5.9–5.8) | NA |
| Yasunaga et al. [64] (2006) | 12° | NA | 34° | HLI; 0.04 (0.69–0.65) | −0.1 (6.0–5.9) | None |
| Ito et al. [20] (2007) | 12° | NA | 37° | 5 mm | NA | Major (8:7%); pulmonary embolism (1), necrosis of acetabulum (2), greater trochanter displacement (4), infection (1) Moderate (4:4%); ischial fracture (4) Minor (7:6%); pubic nonunion(5), heterotopic bone formation (2) |
| Okano et al. [42] (2008) | Good group; 36° Poor group; 32° |
NA | Good group;44° Poor group;48° |
NA | −0.4 (5.7–5.3) | Major (2:4%); deep vein thrombosis (1), intraarticular damage (1) Minor (2:4%);transient irritation of the lateral femoral cutaneous nerve (2) |
| Okano et al. [43] (2008) | NA | NA | Good group; 42° Poor group; 42° |
NA | −0.8 (5.3–4.5) | None |
| Nozawa et al. [39] (2009) | NA | NA | 36° | 1.1 mm | −0.5 (5.4–4.9) | None |
| Nozawa et al. [40] (2009) | NA | NA | 36° | 1.3 mm | −0.3 (5.5–5.2) | NA |
| Matsuo et al. [26] (2009) | NA | NA | 35° | LI; 0.03 (0.63–0.60) | NA | Major (1: 6%); pulmonary embolism (1) Minor (4:25%); injury of lateral femoral cutaneous nerve (2), superficial infection (2) |
| Yamaguchi et al. [61] (2009) | NA | NA | NA | NA | −0.1 (4.9–4.8) (older) −0.1 (5.3–5.2) (younger) |
insufficiency of gluteal muscle recovery (1 older patient) nonunion of greater trochanter (1 younger patient) |
| Hasegawa et al. [16] (2010) | NA | NA | Minimum joint space ≦ 1 mm 32° ≧ 1.1 but < 2 mm 33° ≧ 2.1 but < 3 mm 35° |
NA | NA | NA |
| Fujii et al. [10] (2011) | NA | NA | 34° | NA | 0 (5.9–5.9) | Major (1:1%); pulmonary embolism (1) Minor (4:3%); superficial infection (3), pubic nonunion (1) |
| Ito et al. [21] (2011) | NA | NA | 37° (younger) 38° (older) |
6.9 mm (16.8–9.9) 4.4 mm (15.8–11.4) |
NA | Major; older (3:7.3%); pulmonary embolism (1), necrosis of acetabulum (1), nonunion of greater trochanter (1) younger (6:5.1%); necrosis of acetabulum (2), nonunion of greater trochanter (3), deep infection (1) Moderate; older (2:4.9%); ischial fracture (2) younger (3:2.6%); ischial fracture (3) Minor; older (1:2.4%); pubic nonunion (1) younger (6:5.1%); pubic nonunion (4), heterotopic bone formation (2) |
HLI = head lateralization index; LI = lateralization index; NA = data not available; JOA = Japanese Orthopaedic Association.