Congenital hip dysplasia is a developmental disease which predisposes patients to
osteoarthritis of the hip. We compare the results and complications of triple innominate
osteotomy and rotational acetabular
osteotomy in the treatment of this disease. Between 1984 and 1992, 27 patients with 30 dysplastic hips received reconstructive procedures at National Taiwan University Hospital. Fourteen patients (16 hips) with a median age of 18 years were treated by triple innominate
osteotomy. Nine of 16 hips had concomitant femoral
osteotomy. Another 13 patients (14 hips) with a median age of 24 years were treated by rotational acetabular
osteotomy. We compared the radiologic and functional results, complications and satisfaction of the patients in these two groups. Patients who underwent rotational
osteotomy showed more correction in roof obliquity than patients who had triple innominate
osteotomy. The functional results when evaluated by Harris scores, were better in patients who had triple innominate
osteotomy than rotational
osteotomy. Complications included one resubluxation of the hip in each group as well as one perforation of the hip joint and one pin break and nonunion at the
osteotomy site in the rotational
osteotomy group. Patients who had triple innominate
osteotomy were more satisfied with the results. With proper selection of patients and accurate performance of the procedure, both triple innominate
osteotomy and rotational
osteotomy may be used effectively for the treatment of
congenital hip dysplasia. However, in our study, patients who underwent rotational
osteotomy had better anatomic correction, while those who underwent triple innominate
osteotomy had better functional results.