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lüll Valgus-extension osteotomy for osteoarthritis of the hip Indications and long-term results Maistrelli GL; Gerundini M; Fusco U; Bombelli R; Bombelli M; Avai AJ Bone Joint Surg Br 1990[Jul]; 72 (4): 653-7We reviewed the results of 277 intertrochanteric valgus-extension osteotomies performed between 1973 and 1975 for primary or secondary osteoarthritis. The average age of the patients was 51 years and follow-up varied from 11 to 15 years. At the latest evaluation 67% of the hips were good or excellent on the Merle D'Aubigne scale. Better results were obtained in patients under 40 years of age with unilateral involvement and a mechanical (secondary) aetiology. An elliptical femoral head, minimal subluxation and an adequate pre-operative range of motion were also favourable. There was radiographic evidence of regression of the arthritic changes in 39% of the hips at final review. Valgus-extension osteotomy is effective for secondary osteoarthritis of the hip in selected younger patients, but not for those with primary hip disease or a poor range of movement.|Adult[MESH]|Aged[MESH]|Early Ambulation[MESH]|Female[MESH]|Femur/diagnostic imaging/*surgery[MESH]|Follow-Up Studies[MESH]|Hip Prosthesis[MESH]|Humans[MESH]|Male[MESH]|Middle Aged[MESH]|Osteoarthritis, Hip/diagnostic imaging/*surgery[MESH]|Osteotomy/*methods[MESH]|Postoperative Complications/etiology[MESH]|Prognosis[MESH]|Radiography[MESH]|Reoperation[MESH] |