The displacement of the femoral head by rotational acetabular osteotomy

A radiographic study of 97 subluxated hips

To determine the limits of medial and inferior displacement of the subluxated femoral head by rotational acetabular osteotomy, we studied the acetabular coverage and position of the femoral head radiographically before and after surgery in 97 hips. The median age of the patients at the time of surgery was 33 (18-54) years. The position of the femoral head was represented by its center and medial and upper borders. The average increase and decrease in the CE and the AC angle were 39° and 27°, respect tively. The average medial displacement of the head was 8 (-12 to +19) mm measured from its center, and 7 (-10 to +21) mm measured from its medial border. The average inferior displacement was 5 (-6 to +19) mm from its center and 4 (-10 to +15) mm from the upper border. These results indicate that concentric reduction by rotational acetabular osteotomy is limited and that medial displacement of the subluxated femoral head is within similar ranges obtained by other conventional pelvic osteotomies.