Development of hip preservation in treating adult hip dysplasia_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 ZHANG Hong , LUO Dianzhong , CHENG Hui

Department of Joint Surgery, First Affiliated Hospital of PLA General Hospital, Beijing, 100048, P.R.China;

Corresponding?author：

ZHANG Hong, Email: zhanghongmd@163.com

Keywords：

Adult hip dysplasia; hip preservation; research progress

DOI：

10.7507/1002-1892.201806079

Video：

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During the past decades, the field of hip preservation in China has achieved great improvements. Theoretically, the blood supply of the femoral head and the acetabulum along with the mechanism of early-stage hip osteoarthritis has been gradually cleared. The knowledge and application of the periacetabular osteotomy, surgical hip dislocation, and hip arthroscopy has been vigorously promoted. Improved understanding of the mechanism, pathology, and prevention protocols of the secondary hip dysplasia have been obtained, despite the fact that lack of awareness of some mechanism and detail, for example, hip instability or borderline dysplasia, etc. On the basis of summing up those clinical progress, this article further elaborated the historical development of hip preservation through the review of several traditional treatment, and made objective assessment about the follow-up, evaluation, minimally invasive surgery, and individualized treatment newly reported.

Citation： ZHANG Hong, LUO Dianzhong, CHENG Hui. Development of hip preservation in treating adult hip dysplasia. Chinese Journal of Reparative and Reconstructive Surgery, 2018, 32(7): 854-859. doi: 10.7507/1002-1892.201806079 Copy

1.	Sevitt S, Thompson RG. The distribution and anastomoses of arteries supplying the head and neck of the fumur. J Bone Joint Surg (Br), 1965, 47: 560-573.
2.	王華, 梅炯. 股骨頭頸部血供的三維全景圖制作及臨床意義. 同濟大學學報 (醫學版), 2017, 38(6): 46-51.
3.	趙德偉, 邱興. 股骨頭血液供應及其臨床意義. 臨床外科雜志, 2017, 25(8): 568-570.
4.	Atsumi T, Yoshihara S, Hiranuma Y. Revascularization of the artery of the ligamentum teres in Perthes disease. Clin Orthop Relat Res, 2001, 386(5): 210-217.
5.	Iwasaki K. The role of blood vessels within the ligamentum teres in Perthes’ disease. Clin Orthop Relat Res, 1981, (159): 248-256.
6.	王昌興, 袁中興, 耿燕華, 等. 股骨頭頸靜脈造影的臨床應用. 骨與關節損傷雜志, 1995, 10(5): 267-269.
7.	石杰, 譚允西, 陸廣庭. 髖關節的靜脈回流及其臨床意義. 中國臨床解剖學雜志, 1991, 9(4): 199-202.
8.	Gautier E, Ganz K, Krügel N, et al. Anatomy of the medial femoral circumflex artery and its surgical implications. J Bone Joint Surg (Br), 2000, 82(5): 679-683.
9.	Kalhor M, Horowitz K, Gharehdaghi J, et al. Anatomic variations in femoral head circulation. Hip Int, 2012, 22(3): 307-312.
10.	Kalhor M, Beck M, Huff TW, et al. Capsular and pericapsular contributions to acetabular and femoral head perfusion. J Bone Joint Surg (Am), 2009, 91(2): 409-418.
11.	Ganz R, Gill TJ, Gautier E, et al. Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg (Br), 2001, 83(8): 1119-1124.
12.	Ganz R, Huff TW, Leunig M. Extended retinacular soft-tissue flap for intra-articular hip surgery: surgical technique, indications, and results of application. Instr Course Lect, 2009, 58: 241-255.
13.	Leunig M, Slongo T, Ganz R. Subcapital realignment in slipped capital femoral epiphysis: surgical hip dislocation and trimming of the stable trochanter to protect the perfusion of the epiphysis. Instr Course Lect, 2008, 57: 499-507.
14.	Leunig M, Slongo T, Kleinschmidt M, et al. Subcapital correction osteotomy in slipped capital femoral epiphysis by means of surgical hip dislocation. Oper Orthop Traumatol, 2007, 19(4): 389-410.
15.	Leunig M, Ganz R. Relative neck lengthening and intracapital osteotomy for severe Perthes and Perthes-like deformities. Bull NYU Hosp Jt Dis, 2011, 69 Suppl 1: S62-S67.
16.	Ganz R, Horowitz K, Leunig M. Algorithm for femoral and periacetabular osteotomies in complex hip deformities. Clin Orthop Relat Res, 2010, 468(12): 3168-3180.
17.	Kim YJ, Bixby S, Mamisch TC, et al. Imaging structural abnormalities in the hip joint: instability and impingement as a cause of osteoarthritis. Semin Musculoskelet Radiol, 2008, 12(4): 334-345.
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23.	Cvetanovich GL, Chalmers PN, Levy DM, et al. Hip arthroscopy surgical volume trends and 30-day postoperative complications. Arthroscopy, 2016, 32(7): 1286-1292.
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25.	Ganz R, Klaue K, Vinh TS, et al. A new periacetabular osteotomy for the treatment of hip dysplasias. Technique and preliminary results. Clin Orthop Relat Res, 1988, 232(7): 26-36.
26.	Kim YJ, Ganz R, Murphy SB, et al. Hip joint-preserving surgery: beyond the classic osteotomy. Instr Course Lect, 2006, 55: 145-158.
27.	Fujii M, Nakashima Y, Noguchi Y, et al. Effect of intra-articular lesions on the outcome of periacetabular osteotomy in patients with symptomatic hip dysplasia. J Bone Joint Surg (Br), 2011, 93(11): 1449-1456.
28.	Nassif NA, Pekmezci M, Pashos G, et al. Osseous remodeling after femoral head-neck junction osteochondroplasty. Clin Orthop Relat Res, 2010, 468(2): 511-518.
29.	Kain MS, Novais EN, Vallim C, et al. Periacetabular osteotomy after failed hip arthroscopy for labral tears in patients with acetabular dysplasia. J Bone Joint Surg (Am), 2011, 93 Suppl 2: 57-61.
30.	Clohisy JC, Nepple JJ, Ross JR, et al. Does surgical hip dislocation and periacetabular osteotomy improve pain in patients with Perthes-like deformities and acetabular dysplasia? Clin Orthop Relat Res, 2015, 473(4): 1370-1377.
31.	Coobs BR, Xiong A, Clohisy JC. Contemporary concepts in the young adult hip patient: periacetabular osteotomy for hip dysplasia. J Arthroplasty, 2015, 30(7): 1105-1108.
32.	Clohisy JC, Barrett SE, Gordon JE, et al. Periacetabular osteotomy for the treatment of severe acetabular dysplasia. J Bone Joint Surg (Am), 2005, 87(2): 254-259.
33.	Haefeli PC, Steppacher SD, Babst D, et al. An increased iliocapsularis-to-rectus-femoris ratio is suggestive for instability in borderline hips. Clin Orthop Relat Res, 2015, 473(12): 3725-3734.
34.	Kalisvaart MM, Safran MR. Microinstability of the hip-it does exist: etiology, diagnosis and treatment. J Hip Preserv Surg, 2015, 2(2): 123-135.
35.	Wyles CC, Heidenreich MJ, Jeng J, et al. The John Charnley Award: redefining the natural history of osteoarthritis in patients with hip dysplasia and impingement. Clin Orthop Relat Res, 2017, 475(2): 336-350.
36.	肖凱, 張洪, 羅殿中, 等. 髖關節發育不良患者股骨頸前傾角的影像學觀察. 中華外科雜志, 2015, 53(5): 353-356.
37.	Clohisy JC, Nunley RM, Carlisle JC, et al. Incidence and characteristics of femoral deformities in the dysplastic hip. Clin Orthop Relat Res, 2009, 467(1): 128-134.
38.	羅殿中, 張洪, 張偉佳, 等. 髖臼發育不良患者髖臼盂唇內翻的影像學特征及臨床意義. 實用骨科雜志, 2013, 19(7): 598-601.
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42.	Chiari K. Results of pelvic osteotomy as of the shelf method acetabular roof plastic. Z Orthop Ihre Grenzgeb, 1955, 87(1): 14-26.
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44.	Spitzy H. Kunstliche pfannendachbildung. Z Orthop, 1924, 43: 284-294.
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1. Sevitt S, Thompson RG. The distribution and anastomoses of arteries supplying the head and neck of the fumur. J Bone Joint Surg (Br), 1965, 47: 560-573.
2. 王華, 梅炯. 股骨頭頸部血供的三維全景圖制作及臨床意義. 同濟大學學報 (醫學版), 2017, 38(6): 46-51.
3. 趙德偉, 邱興. 股骨頭血液供應及其臨床意義. 臨床外科雜志, 2017, 25(8): 568-570.
4. Atsumi T, Yoshihara S, Hiranuma Y. Revascularization of the artery of the ligamentum teres in Perthes disease. Clin Orthop Relat Res, 2001, 386(5): 210-217.
5. Iwasaki K. The role of blood vessels within the ligamentum teres in Perthes’ disease. Clin Orthop Relat Res, 1981, (159): 248-256.
6. 王昌興, 袁中興, 耿燕華, 等. 股骨頭頸靜脈造影的臨床應用. 骨與關節損傷雜志, 1995, 10(5): 267-269.
7. 石杰, 譚允西, 陸廣庭. 髖關節的靜脈回流及其臨床意義. 中國臨床解剖學雜志, 1991, 9(4): 199-202.
8. Gautier E, Ganz K, Krügel N, et al. Anatomy of the medial femoral circumflex artery and its surgical implications. J Bone Joint Surg (Br), 2000, 82(5): 679-683.
9. Kalhor M, Horowitz K, Gharehdaghi J, et al. Anatomic variations in femoral head circulation. Hip Int, 2012, 22(3): 307-312.
10. Kalhor M, Beck M, Huff TW, et al. Capsular and pericapsular contributions to acetabular and femoral head perfusion. J Bone Joint Surg (Am), 2009, 91(2): 409-418.
11. Ganz R, Gill TJ, Gautier E, et al. Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg (Br), 2001, 83(8): 1119-1124.
12. Ganz R, Huff TW, Leunig M. Extended retinacular soft-tissue flap for intra-articular hip surgery: surgical technique, indications, and results of application. Instr Course Lect, 2009, 58: 241-255.
13. Leunig M, Slongo T, Ganz R. Subcapital realignment in slipped capital femoral epiphysis: surgical hip dislocation and trimming of the stable trochanter to protect the perfusion of the epiphysis. Instr Course Lect, 2008, 57: 499-507.
14. Leunig M, Slongo T, Kleinschmidt M, et al. Subcapital correction osteotomy in slipped capital femoral epiphysis by means of surgical hip dislocation. Oper Orthop Traumatol, 2007, 19(4): 389-410.
15. Leunig M, Ganz R. Relative neck lengthening and intracapital osteotomy for severe Perthes and Perthes-like deformities. Bull NYU Hosp Jt Dis, 2011, 69 Suppl 1: S62-S67.
16. Ganz R, Horowitz K, Leunig M. Algorithm for femoral and periacetabular osteotomies in complex hip deformities. Clin Orthop Relat Res, 2010, 468(12): 3168-3180.
17. Kim YJ, Bixby S, Mamisch TC, et al. Imaging structural abnormalities in the hip joint: instability and impingement as a cause of osteoarthritis. Semin Musculoskelet Radiol, 2008, 12(4): 334-345.
18. Nepple JJ, Clohisy JC. The dysplastic and unstable hip: a responsible balance of arthroscopic and open approaches. Sports Med Arthrosc Rev, 2015, 23(4): 180-186.
19. Clohisy JC, Carlisle JC, Beaulé PE, et al. A systematic approach to the plain radiographic evaluation of the young adult hip. J Bone Joint Surg (Am), 2008, 90 Suppl 4: 47-66.
20. Kraeutler MJ, Garabekyan T, Pascual-Garrido C, et al. Hip instability: a review of hip dysplasia and other contributing factors. Muscles Ligaments Tendons J, 2016, 6(3): 343-353.
21. 羅殿中, 張洪. 一項基本的保髖手術技術: 髖關節外科脫位技術. 中華解剖與臨床雜志, 2015, 20(5): 475-480.
22. Byrd JW, Jones KS. Hip arthroscopy for labral pathology: prospective analysis with 10-year follow-up. Arthroscopy, 2009, 25(4): 365-368.
23. Cvetanovich GL, Chalmers PN, Levy DM, et al. Hip arthroscopy surgical volume trends and 30-day postoperative complications. Arthroscopy, 2016, 32(7): 1286-1292.
24. McCarthy JC, Jarrett BT, Ojeifo O, et al. What factors influence long-term survivorship after hip arthroscopy? Clin Orthop Relat Res, 2011, 469(2): 362-371.
25. Ganz R, Klaue K, Vinh TS, et al. A new periacetabular osteotomy for the treatment of hip dysplasias. Technique and preliminary results. Clin Orthop Relat Res, 1988, 232(7): 26-36.
26. Kim YJ, Ganz R, Murphy SB, et al. Hip joint-preserving surgery: beyond the classic osteotomy. Instr Course Lect, 2006, 55: 145-158.
27. Fujii M, Nakashima Y, Noguchi Y, et al. Effect of intra-articular lesions on the outcome of periacetabular osteotomy in patients with symptomatic hip dysplasia. J Bone Joint Surg (Br), 2011, 93(11): 1449-1456.
28. Nassif NA, Pekmezci M, Pashos G, et al. Osseous remodeling after femoral head-neck junction osteochondroplasty. Clin Orthop Relat Res, 2010, 468(2): 511-518.
29. Kain MS, Novais EN, Vallim C, et al. Periacetabular osteotomy after failed hip arthroscopy for labral tears in patients with acetabular dysplasia. J Bone Joint Surg (Am), 2011, 93 Suppl 2: 57-61.
30. Clohisy JC, Nepple JJ, Ross JR, et al. Does surgical hip dislocation and periacetabular osteotomy improve pain in patients with Perthes-like deformities and acetabular dysplasia? Clin Orthop Relat Res, 2015, 473(4): 1370-1377.
31. Coobs BR, Xiong A, Clohisy JC. Contemporary concepts in the young adult hip patient: periacetabular osteotomy for hip dysplasia. J Arthroplasty, 2015, 30(7): 1105-1108.
32. Clohisy JC, Barrett SE, Gordon JE, et al. Periacetabular osteotomy for the treatment of severe acetabular dysplasia. J Bone Joint Surg (Am), 2005, 87(2): 254-259.
33. Haefeli PC, Steppacher SD, Babst D, et al. An increased iliocapsularis-to-rectus-femoris ratio is suggestive for instability in borderline hips. Clin Orthop Relat Res, 2015, 473(12): 3725-3734.
34. Kalisvaart MM, Safran MR. Microinstability of the hip-it does exist: etiology, diagnosis and treatment. J Hip Preserv Surg, 2015, 2(2): 123-135.
35. Wyles CC, Heidenreich MJ, Jeng J, et al. The John Charnley Award: redefining the natural history of osteoarthritis in patients with hip dysplasia and impingement. Clin Orthop Relat Res, 2017, 475(2): 336-350.
36. 肖凱, 張洪, 羅殿中, 等. 髖關節發育不良患者股骨頸前傾角的影像學觀察. 中華外科雜志, 2015, 53(5): 353-356.
37. Clohisy JC, Nunley RM, Carlisle JC, et al. Incidence and characteristics of femoral deformities in the dysplastic hip. Clin Orthop Relat Res, 2009, 467(1): 128-134.
38. 羅殿中, 張洪, 張偉佳, 等. 髖臼發育不良患者髖臼盂唇內翻的影像學特征及臨床意義. 實用骨科雜志, 2013, 19(7): 598-601.
39. Domb BG, Lareau JM, Baydoun H, et al. Is intraarticular pathology common in patients with hip dysplasia undergoing periacetabular osteotomy? Clin Orthop Relat Res, 2014, 472(2): 674-680.
40. Polkowski GG, Novais EN, Kim YJ, et al. Does previous reconstructive surgery influence functional improvement and deformity correction after periacetabular osteotomy? Clin Orthop Relat Res, 2012, 470(2): 516-524.
41. Lee CB, Millis MB. Alternatives to periacetabular osteotomy for adult acetabular dysplasia. Instr Course Lect, 2013, 62: 287-295.
42. Chiari K. Results of pelvic osteotomy as of the shelf method acetabular roof plastic. Z Orthop Ihre Grenzgeb, 1955, 87(1): 14-26.
43. Chiari K. Medial displacement osteotomy of the pelvis. Clin Orthop Relat Res, 1974, 98(1-2): 55-71.
44. Spitzy H. Kunstliche pfannendachbildung. Z Orthop, 1924, 43: 284-294.
45. Nishimatsu H, Iida H, Kawanabe K, et al. The modified Spitzy shelf operation for patients with dysplasia of the hip. A 24-year follow-up study. J Bone Joint Surg (Br), 2002, 84(5): 647-652.
46. Staheli LT, Chew DE. Slotted acetabular augmentation in childhood and adolescence. J Pediatr Orthop, 1992, 12(5): 569-580.
47. Kotz R, Chiari C, Hofstaetter JG, et al. Long-term experience with Chiari’s osteotomy. Clin Orthop Relat Res, 2009, 467(9): 2215-2220.
48. Rajakulendran K, Strambi F, Buly J, et al. A shelf procedure at a follow-up of 75 years. J Bone Joint Surg (Br), 2011, 93(1): 108-110.
49. Colonna PC. Capsular arthroplasty for congenital dislocation of the hip; a two-stage procedure. J Bone Joint Surg (Am), 1953, 35-A(1): 179-197.
50. Ganz R, Slongo T, Siebenrock KA, et al. Surgical technique: The capsular arthroplasty: a useful but abandoned procedure for young patients with developmental dysplasia of the hip. Clin Orthop Relat Res, 2012, 470(11): 2957-2967.
51. Schanz A. Zur Behandlung der veralteten angeborenen Hüftverrenkung. Z Orthop, 1921, 42: 442-444.
52. Gaenslen F. The schanz subtrochanteric osteotomy for irreducible dislocation of the hip. J Bone Joint Surg (Am), 1935, 17: 76-78.
53. Ilizarov GA, Samchukov ML. Reconstruction of the femur by the Ilizarov method in the treatment of arthrosis deformans of the hip joint. Ortop Travmatol Protez, 1988, (6): 10-13.
54. Rozbruch SR, Paley D, Bhave A, et al. Ilizarov hip reconstruction for the late sequelae of infantile hip infection. J Bone Joint Surg (Am), 2005, 87(5): 1007-1018.
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