Rotational acetabular osteotomy for hip dysplasia61 hips followed for 8–15 years

Abstract

We operated on 54 patients (61 joints) with rotational acetabular osteotomy (RAO) due to dysplasia of the hip with pre- or early-stage osteoarthritis/arthrosis. The mean follow-up was 11 (8-15) years. The Merle d'Aubigné median score increased from 14 to 15. In 2 patients (2 joints), the score decreased from 15 to 13. Progression of arthrosis was seen in 6 joints on the radiographs at follow-up. Kaplan-Meier survivorship analysis predicted an 89% (95% confidence interval 80-99) prevention of worsening of arthrosis at 10 years. Postoperative joint congruency was a risk factor for progression of arthrosis.