Chiari pelvic osteotomy (CPO) or medial displacement pelvic osteotomy is a surgical procedure of making a congruent shelf above intact hip joint by using the cancellous bone of ilium along with capsular interpositioning to contain the femoral head and bear weight. CPO is usually considered a salvage procedure indicated in patients with dysplastic acetabular sockets as a part of developmental hip dysplasia. It has been widely performed for several decades but since 1990s number of CPO procedures has decreased because of use of other pelvic osteotomies, total hip arthroplasty (THA), ultrasound screening and narrowing indications for this procedure. However, CPO is not a historical procedure and it has viable indications in modern orthopaedic surgery, especially in patients who prefer joint-conservating procedure or in situations when THA is not feasible. Moreover, keeping the native hip as long as possible should be preferred modern orthopaedic approach. The Chiari osteotomy can produce excellent results in patients who have right indications and when other procedures are not suitable. On the other hand, there are several disadvantages of this procedure such as narrowing of the pelvis, shortening of the limb and risk of sciatic nerve palsy. With in-depth analysis of literature, we discuss indications for CPO, surgical technique of CPO, THA conversion rate after CPO, the interval from the CPO to THA and CPO survival rate.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8581363 | PMC |
| http://dx.doi.org/10.1016/j.jcot.2021.101687 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Implementation of a clinical pathway for diabetes-related foot ulcers reduced the number of amputations and shortened hospital stay.
J Foot Ankle Res
March 2025
Department of Orthopaedic Surgery, Akershus University Hospital, Lørenskog, Norway.
Introduction: Diabetes-related foot ulcer (DFU) is the leading cause for lower extremity amputations (LEAs) in western countries, and may cause social isolation, depression, and death. However, people with DFU are not offered the same prioritized care as cancer patients, despite comparable mortality rates. We therefore decided to create a clinical pathway for patients with DFU.
View Article and Find Full Text PDFPrioritizing performance and outcome indicators for quality assessment of cancer screening programs in the EU.
Public Health
January 2025
Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Objectives: A key element in ensuring appropriate balance of harms and benefits in cancer screening is to develop a priority set of performance and outcome indicators to be used in screening data evaluation systems. These indicators need to be equity-focused, aligned to new screening approaches and broad-based to cover possible opportunistic screening, but at the same time as limited as possible.
Study Design: Indicators for breast, colorectal and cervical cancer screening programs were chosen through a consensus building Delphi methodology involving a panel of cancer screening experts.
Socio-Demographic and Clinical Characteristics of Patients with Substance Intoxication Receiving a Psychiatric Assessment in the Emergency Department of the Maggiore Della Carita Hospital, Novara, Italy.
Int J Environ Res Public Health
December 2024
Psychiatry Unit, Maggiore della Carità Hospital, 28100 Novara, Italy.
Patients intoxicated with alcohol or other substances are often assessed and assisted in the context of the Emergency Department (ED) by emergency physicians, who usually require a psychiatric assessment. This study aims to analyse the characteristics of a sample of patients receiving a psychiatric consultation in the ED setting of the Maggiore della Carità University Hospital in Novara, Italy, in the period from 1 January 2021 to 31 December 2023, to find out whether and how patients screening positive for alcohol/drugs differ from those screening negative. Socio-demographic and clinical history information and clinical data related to the ED psychiatric consultations were extracted from the PsNet database, a collection of data extracted from the application that serves as the electronic medical record for patients accessing the ED.
View Article and Find Full Text PDFPreferential Sites of Retinal Capillary Occlusion in Sickle Cell Disease.
Invest Ophthalmol Vis Sci
January 2025
Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, New York, United States.
Purpose: To assess the preferential sites of retinal capillary occlusion at the parafovea in patients with sickle cell disease (SCD) using optical coherence tomography angiography (OCT-A).
Methods: OCT-A scans from 107 patients with SCD and 51 race-matched unaffected controls were obtained using a commercial spectral domain-OCT system. At least eight sequential 3 × 3 mm scans centered at the fovea were acquired and averaged for image analysis.
Composite Primary Outcomes Reported in Studies of Critical Care: A Scoping Review.
Crit Care Explor
January 2025
Department of Intensive Care Medicine, Caboolture Hospital, Caboolture, QLD, Australia.
Objective: Composite primary outcomes (CPO) (incorporating both mortality and non-mortality outcomes) offer several advantages over mortality as an outcome for critical care research. Our objective was to explore and map the literature to report on CPO evaluated in critical care research.
Data Sources: PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, Scopus, and Cochrane Library from January 2000 to January 2024.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!