Analysis of results in our patients confirms that shelf acetabuloplasty gives satisfactory results of involved hip.
With the affected limb held in hip neutral position, a true AP view of the involved hip was reproduced on the C-arm monitor.
Using cutoff values of less than 30°, 30 60°, and greater than 60° for lateral head-shaft angulation (Siegel et al. 1991) as measured on the frog lateral view of the involved hip, 51 hips were classified as mild SCFE, 22 hips were classified as moderate SCFE, and 12 hips were classified as severe SCFE at initial presentation.
Standard anteroposterior and lateral radiographs of the pelvis and the involved hip were obtained preoperatively, immediately after surgery, and on outpatient controls at 6 weeks, 3 months, 6 months, 12 months, and annually thereafter.
This diagnosis had to be based on at least anamnesis, physical examination, anteroposterior and lateral radiographs of the involved hip, and the determination of erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP).
Diagnosis was made on an anteroposterior view of the pelvis and a lateral radiograph of the involved hip (tables 1 and 2).
This is achieved through the proximal femoral osteotomy by placing the involved hip in maximum adduction.
Inward rotation of the involved hip was limited to 0° (or even less) typically as compared to outward rotation >90°.
Acetabular fractures result from high-energy trauma in which soft tissues around the involved hip are severely affected.
Physical examination revealed a short leg gait with an abductor lurch, a positive Trendelenburg test, limitation of abduction and internal rotation of the involved hip in all patients.
