Kunihiko Okano

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We evaluated the results of rotational acetabular osteotomy in 44 hips (42 patients) with advanced osteoarthritis secondary to developmental dysplasia. The mean age of the patients at surgery was 43.4 years (30 to 59) and the mean follow-up was 12.1 years (8 to 19). The mean Merle d'Aubigné clinical score improved from 10.8 points (8 to 15) pre-operatively(More)
BACKGROUND We conducted a nationwide epidemiologic study regarding hip osteoarthritis (OA) in Japan, and a previous report found these patients to be unique in comparison to Caucasians. This report focused on the data regarding each hip joint, and the involvement of acetabular dysplasia with hip OA was analyzed. METHODS Seven hundred twenty OA hips were(More)
BACKGROUND We are planning a multicenter survey on coxarthrosis and acetabular dysplasia in Japan. To collect reliable data, we performed a preliminary study to elucidate the observer agreement on assessment items. METHODS We collected radiographs of hip joints in eight patients with various findings of coxarthrosis. Twelve registered orthopedic(More)
We retrospectively reviewed 31 hips with massive bone defect because of aseptic loosening of the acetabulum treated with impacted bone allografts with the Kerboull-type acetabular device. Mean age at surgery was 67.9 years, and mean duration of follow-up was 6.3 years. Thickness of the bone graft was evaluated by postoperative radiography. Seven hips showed(More)
Quantitative ultrasound (QUS) is a recently developed technique for evaluating fracture risk that can assess both bone mass and architecture. Although numerous studies have shown that menopause is associated with accelerated loss of bone mineral density, there are only a few studies on the association of QUS parameter (stiffness index) with menopausal(More)
BACKGROUND Hip osteoarthritis in Japanese patients is in most cases secondary and purpose to congenital dislocation of the hip or acetabular dysplasia - often associated with a deformed femoral head. Thus, we examined the outcome of rotational acetabular osteotomy (RAO) procedures in patients with early-stage osteoarthritis secondary to developmental(More)
We reviewed long-term outcomes after open reduction by the medial approach for developmental dislocation of the hip (DDH). Forty-five hips in 43 patients with more than ten years of follow-up were assessed clinically and radiologically. The mean age at surgery was 14.0 (range 6–31) months, and the follow-up period ranged from ten to 28 years (mean 16.4(More)
Fracture risk is influenced by both bone strength and by falls. Measures of physical function and performance are predictors of falls. However, the interrelationships among bone mineral density (BMD), regular physical activity, and measures of physical performance are not well known. We studied 447 community-dwelling Japanese people aged 40 years and over(More)
We compared the functional and radiological results of a rotational acetabular osteotomy (RAO) with and without a resection of the lateral edge of the acetabulum. The purpose of the resection was to obtain good joint congruency. RAO was performed on 71 hips to treat advanced coxarthrosis caused by acetabular dysplasia. RAO without a resection (non-resection(More)