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At a mean follow-up of 5.5 years (2 to 9) after periacetabular osteotomy and 6.7 years (3 to 10) after total hip replacement, there was no difference in the functional outcome in hips undergoing osteotomy for early or moderate osteoarthritis and those with a total hip replacement, as determined by the Merle d\u2019Aubign\u00e9 and Postel score and the Western Ontario and McMaster Universities osteoarthritis index. More patients preferred the spherical periacetabular osteotomy to total hip replacement (53% vs 23%; p = 0.029). Osteoarthritis secondary to hip dysplasia is often progressive. Given the results, timely correction of dysplasia by periacetabular osteotomy should be considered whenever possible in young patients since this could produce a favourable outcome which is comparable with that of total hip replacement. <\/jats:p>","DOI":"10.1302\/0301-620x.91b7.22183","type":"journal-article","created":{"date-parts":[[2009,6,30]],"date-time":"2009-06-30T21:39:10Z","timestamp":1246397950000},"page":"883-888","source":"Crossref","is-referenced-by-count":27,"title":["Comparison of periacetabular osteotomy and total hip replacement in the same patient"],"prefix":"10.1302","volume":"91-B","author":[{"given":"P.-H.","family":"Hsieh","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 5, Fu-Hsing Street 333, Kweishian, Taoyuan, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.-C.","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 6, West Sec, Chia-Pu Rd, Pu-Tz, Chia-Yi, 613, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.-C.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 5, Fu-Hsing Street 333, Kweishian, Taoyuan, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.-H.","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 5, Fu-Hsing Street 333, Kweishian, Taoyuan, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Cooperman DR, Wallensten R, Stulberg SD. 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