{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:34:45Z","timestamp":1763465685684,"version":"3.45.0"},"reference-count":18,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"3","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,7,26]],"date-time":"2017-07-26T00:00:00Z","timestamp":1501027200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Chonnam National University Hospital Biomedical Research Institute","award":["CRI18092-1"],"award-info":[{"award-number":["CRI18092-1"]}]}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective\nDisparity in size between femoral head and acetabulum could promote premature degeneration of the hip joint. The purpose of this study was to report the results of Kawamura's dome osteotomy for acetabular dysplasia due to sequelae of Perthes' disease.\nPatients and Methods\nFourteen patients (14 hips) operated between 1999 and 2012 were retrospectively reviewed. There were 9 males and 5 females with a mean age of 29 years (range, 15\u201354 years). Functional and radiological results were reviewed at mean follow-up of 9 years (range, 4\u201312 years).\nResults\nPain relief was obtained in 13 of 14 (92.8%) patients postoperatively. Good to excellent functional outcome was obtained in 10 of 14 (71.4%) patients. Mean Harris hip score was improved from 63 to 84 (p &lt; 0.05) at the final follow-up. Improvement of limping gait was observed in 10 of 14 (71.4%) patients. Center edge angle improved from mean 24\u00b0 (11\u201336\u00b0) preoperatively to mean 35\u00b0 (27\u201346\u00b0) postoperatively (p &lt; 0.05), acetabular angle improved from mean 43\u00b0 (36\u201349\u00b0) preoperatively to mean 37\u00b0 (32\u201344\u00b0) postoperatively (p &lt; 0.05), acetabular head index improved from mean 69% (50\u201383%) preoperatively to mean 85% (73\u2013100%) postoperatively (p &lt; 0.05). Progression of arthrosis stage occurred in 3 of 14 (21%) patients. None of the hip with preoperative Stulberg III, 2 of 9 hips with Stulberg IV and 2 of 2 hips with Stulberg V needed conversion to total hip arthroplasty during the follow-up.\nConclusion\nDome osteotomy of the pelvis combined with trochanteric advancement could give a reasonable treatment outcome for acetabular dysplasia due to Perthes' disease at mid to long-term follow-up. Advanced stage of arthrosis, preoperative Stulberg V and no improvement of limping gait after the surgery possibly associated with poor outcome.\nLevel of evidence\nLevel IV, therapeutic study.\nER -<\/jats:p>","DOI":"10.1016\/j.aott.2018.02.010","type":"journal-article","created":{"date-parts":[[2018,3,27]],"date-time":"2018-03-27T00:26:12Z","timestamp":1522110372000},"page":"216-221","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Treatment outcome of dome osteotomy of the pelvis combined with trochanteric advancement for sequelae of Perthes' disease"],"prefix":"10.5152","volume":"52","author":[{"given":"Asep","family":"SANTOSO","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pramod","family":"Shaligram INGALE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ik-sun","family":"CHO\u0130","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Young-rok","family":"SH\u0130N","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyung-soon","family":"PARK","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taek-rim","family":"YOON","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"key":"10.1016\/j.aott.2018.02.010_bib1","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1302\/0301-620X.73B2.2005144","article-title":"Chiari's osteotomy in the treatment of Perthes' disease","volume":"73","author":"Bennett","year":"1991","journal-title":"J\u00a0Bone Joint Surg Br."},{"key":"10.1016\/j.aott.2018.02.010_bib2","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1302\/0301-620X.68B1.3941141","article-title":"Chiari innominate osteotomy in adults. Technique, indications and contra indications","volume":"68","author":"Reynolds","year":"1986","journal-title":"J\u00a0Bone Joint Surg Br."},{"key":"10.1016\/j.aott.2018.02.010_bib3","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1007\/s11832-007-0071-z","article-title":"The results of Chiari pelvic osteotomy in adolescents with a brief literature review","volume":"2","author":"Karami","year":"2008","journal-title":"J\u00a0Child Orthop"},{"key":"10.1016\/j.aott.2018.02.010_bib4","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1097\/00003086-197401000-00008","article-title":"Medial displacement osteotomy of the pelvis","volume":"98","author":"Chiari","year":"1974","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.aott.2018.02.010_bib5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/01202412-200501000-00001","article-title":"Chiari osteotomy in Legg-Calve-Perthes disease","volume":"14","author":"Reddy","year":"2005","journal-title":"J\u00a0Pediatr Orthop B"},{"key":"10.1016\/j.aott.2018.02.010_bib6","first-page":"1181","article-title":"The transverse pelvic osteotomy","volume":"32","author":"Kawamura","year":"1959","journal-title":"J\u00a0Jpn Orthop Assoc"},{"key":"10.1016\/j.aott.2018.02.010_bib7","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1302\/0301-620X.75B2.8444941","article-title":"Dome osteotomy of the pelvis for osteoarthritis secondary to hip dysplasia. 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An end-result study using a new method of result evaluation","volume":"51","author":"Harris","year":"1969","journal-title":"J\u00a0Bone Joint Surg Am."},{"key":"10.1016\/j.aott.2018.02.010_bib11","first-page":"29","article-title":"Studies on dysplastic acetabula and congenital subluxation of the hip joint: with special reference to the complication of osteoarthrosis","volume":"83","author":"Wiberg","year":"1939","journal-title":"Acta Chir Scand"},{"key":"10.1016\/j.aott.2018.02.010_bib12","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1302\/0301-620X.43B2.268","article-title":"Acetabular dysplasia: the acetabular angle","volume":"43","author":"Sharp","year":"1961","journal-title":"J\u00a0Bone Joint Surg Br"},{"key":"10.1016\/j.aott.2018.02.010_bib13","doi-asserted-by":"crossref","first-page":"767","DOI":"10.2106\/00004623-195032040-00004","article-title":"Legg-Perthes disease; a method for the measurement of the roentgenographic result","volume":"32A","author":"Heyman","year":"1950","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.aott.2018.02.010_bib14","first-page":"331","article-title":"Chiari pelvic osteotomy using lateral approach","volume":"38","author":"Higuchi","year":"1995","journal-title":"Orthop Surg Trauma"},{"key":"10.1016\/j.aott.2018.02.010_bib15","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.2106\/00004623-198163070-00006","article-title":"The natural history of Legg-Calv\u00e9-Perthes disease","volume":"63","author":"Stulberg","year":"1981","journal-title":"J\u00a0Bone Joint Surg Am."},{"key":"10.1016\/j.aott.2018.02.010_bib16","doi-asserted-by":"crossref","first-page":"128","DOI":"10.3109\/17453679709003994","article-title":"Dynamics of hip joint remodeling after Chiari osteotomy. 10 patients with neuromuscular disease followed for 8 years","volume":"68","author":"Osebold","year":"1997","journal-title":"Acta Orthop Scand"},{"key":"10.1016\/j.aott.2018.02.010_bib17","doi-asserted-by":"crossref","first-page":"127","DOI":"10.3109\/17453679508995505","article-title":"Outcome of Chiari pelvic osteotomy in adults. 90 hips with 2-15 years' follow-up","volume":"66","author":"Migaud","year":"1995","journal-title":"Acta Orthop Scand"},{"key":"10.1016\/j.aott.2018.02.010_bib18","doi-asserted-by":"crossref","first-page":"129","DOI":"10.3109\/17453679809117612","article-title":"Modified Chiari osteotomy for arthrosis after Perthes' disease. 14 hips followed for 2-12 years","volume":"69","author":"Koyama","year":"1998","journal-title":"Acta Orthop Scand"}],"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X17304443?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X17304443?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3358\/3305","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:32:51Z","timestamp":1763465571000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3358"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,6]]},"references-count":18,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2018,1,3]]}},"URL":"https:\/\/doi.org\/10.1016\/j.aott.2018.02.010","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Treatment outcome of dome osteotomy of the pelvis combined with trochanteric advancement for sequelae of Perthes' disease","name":"articletitle","label":"Article Title"},{"value":"Acta Orthopaedica et Traumatologica Turcica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aott.2018.02.010","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Turkish Association of Orthopaedics and Traumatology. 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