Revised: October 31, 2013
Accepted: November 15, 2013
Published online: January 18, 2014
Processing time: 215 Days and 14.5 Hours
A wide variety of pelvic osteotomies have been developed for the treatment of developmental dysplasia of the hip (DDH). In the present paper, we present a detailed review of previous studies of triple osteotomy as an alternative treatment for DDH. We also report our experience treating 6 adult cases of DDH by triple osteotomy in order to highlight the various aspects of this procedure.The mean age of our patients was 31.2 years with a mean follow-up period of 6 years. We assessed range of motion, center-edge angle, acetabular index angle, Sharp angle, acetabulum head index, head lateralization index, Japanese Orthopedic Association score, Harris hip score, patient satisfaction, and the difference between lower limb lengths before and after the procedure. At final follow-up, clinical scores were significantly improved and radiographic parameters also showed good correction of acetabulum.
Core tip: Various pelvic osteotomies have been developed for treating developmental dysplasia of the hip (DDH). In the present paper, we review previous studies on triple osteotomy as an alternative treatment for DDH and also report our experience with 6 DDH cases treated by triple osteotomy in order to highlight the various aspects of this procedure. In our cases, clinical scores as well as radiographic parameters were significantly improved. We found that the clinical results of triple osteotomy were satisfactory and it should be considered as an alternative pelvic osteotomy procedure in adults with DDH.