Die 3‑fache Beckenosteotomie nach Tönnis u. Kalchschmidt

Zahedi, A. R.; Lüring, C.; Janssen, D.

doi:10.1007/s00132-016-3291-4

Cited by 9 publications

(4 citation statements)

References 14 publications

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“…In 2018, Dienst et al modified the PAO through a double approach [ 30 ]. This modification was made based of the authors’ experience with Tonnis’s triple osteotomy [ 52 ]. The goal in this modification is to allow direct vision during the osteotomy of the ischium and the caudal part of the retro acetabular osteotomy.…”

Section: Resultsmentioning

confidence: 99%

Current Surgical Techniques in the Treatment of Adult Developmental Dysplasia of the Hip

Dhaliwal

Akhtar

Razick

et al. 2023

JPM

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The surgical protocols currently used for the treatment of developmental dysplasia of the hip (DDH) are varied, with sufficient differences in clinical outcomes that warrant a review of the role of practicing orthopedic surgeons. This paper aims to summarize the current novel techniques within the realm of surgical treatment for adult DDH, thus serving as a guide to surgeons looking to quickly familiarize themselves with available techniques. We performed computer systematic literature searches of the Embase and PubMed databases from 2010 to 2 April 2022. Study parameters as well as their respective patient reported outcomes (PROMs) were described in detail and compiled into diagrams. Two novel techniques were identified for the treatment of borderline or low-grade DDH. Six techniques which included modifications to the Bernese periacetabular osteotomy (PAO) were identified for the treatment of symptomatic DDH. Three techniques which include combinations of arthroscopy and osteotomy were identified for the treatment of DDH with concomitant hip pathologies such as cam deformities. Finally, six techniques, all of which are modifications to total hip arthroplasty (THA), were identified for the treatment of high-grade DDH. The techniques detailed in this review therefore equip surgeons with the necessary knowledge to improve outcomes in patients with varying degrees of DDH.

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Section: Resultsmentioning

confidence: 99%

Current Surgical Techniques in the Treatment of Adult Developmental Dysplasia of the Hip

Dhaliwal

Akhtar

Razick

et al. 2023

JPM

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“…Triple pelvic osteotomy, which includes osteotomy of the ilium, pubis and ischium around the acetabulum, is a complete redirected osteotomy, which solves the problems of limited movement of bone mass and lateralization of the hip joint after osteotomy[ 59 , 60 ]. This complete redirected osteotomy increases the range of motion of the acetabulum by cutting off the pubic bone, ischium and ilium, so that the rotated acetabulum can completely contain the femoral head and achieve concentric reduction of the hip joint.…”

Section: Redirectional Osteotomymentioning

confidence: 99%

“…Like other redirected osteotomies, triple pelvic osteotomy is a rotational osteotomy that does not change the size and shape of the acetabulum[ 63 ]. The premise of this operation is that the structure of the hip joint is intact, which is mainly suitable for older children with more severe acetabular dysplasia, and it is an unstable osteotomy that requires solid internal and external fixation[ 59 , 64 ]. Triple pelvic osteotomy can improve the CEA, lateral coverage of the femoral head, and stress distribution of acetabular cartilage, and can effectively correct acetabular deformities.…”

Section: Redirectional Osteotomymentioning

confidence: 99%

Effects of different pelvic osteotomies on acetabular morphology in developmental dysplasia of hip in children

Wang¹,

Wu²,

Kuang³

et al. 2023

World J Orthop

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Developmental dysplasia of hip seriously affects the health of children, and pelvic osteotomy is an important part of surgical treatment. Improving the shape of the acetabulum, preventing or delaying the progression of osteoarthritis is the ultimate goal of pelvic osteotomies. Re-directional osteotomies, reshaping osteotomies and salvage osteotomies are the three most common types of pelvic osteotomy. The influence of different pelvic osteotomy on acetabular morphology is different, and the acetabular morphology after osteotomy is closely related to the prognosis of the patients. But there lacks comparison of acetabular morphology between different pelvic osteotomies, on the basis of retrospective analysis and measurable imaging indicators, this study predicted the acetabular shape after developmental dysplasia of the hip pelvic osteotomy in order to help clinicians make reasonable and correct decisions and improve the planning and performance of pelvic osteotomy.

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“…обсуждение Дисплазия тазобедренных суставов у детей характеризуется уменьшением площади нагрузки на суставные поверхности головки бедренной кости и вертлужной впадины, что приводит к гиперпрессии гиалинового хряща и является одной из причин развития раннего коксартроза. на сегодняшний день в литературе имеется большое количество публикаций, касающихся хирургического лечения детей с различной степенью тяжести дисплазии тазобедренных суставов посредством выполнения реориентирующих остеотомий таза [28][29][30]. Появились исследования, указывающие на формирование гиперкоррекции пространственного положения тазового компонента в результате этих хирургических вмешательств [31][32][33][34].…”

Section: результатыunclassified

Patient-Specific Templates for Triple Pelvic Osteotomy in Children with Dysplastic Hip Subluxation (Preliminary Results)

Бортулёв

Vissarionov

Baskov

et al. 2019

Traumatology and Orthopedics of Russia

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Purpose of the study — to evaluate the degree of correction of acetabular spatial position after triple pelvic osteotomy using patient-specific templates in children with dysplastic hip subluxation. Materials and methods. Study included 30 patients (30 hips) with dysplastic hip subluxation aging from 14 to 18 years (mean age of 16.3±1.4). All children were divided into two groups — main group consisted of 15 children (15 hips) who underwent triple pelvic osteotomy using patient-specific templates produced by 3D modeling and prototyping technology; control group consisted of 15 children (15 hips) who underwent triple pelvic osteotomy based on standard preoperative planning. X-ray and CT of hip joints was made in all patients. Results. Parameters of acetabular spatial position as well as integral parameters which define the ratio between acetabulum and femoral components and hip stability were in the range of normal variation in patients of the main group. Similar average parameters in patients of control group were below the lower margin of the physiological norm (p<0.05). Besides, the values of standard deviation of abovementioned X-ray parameters in some patients of control group demonstrated pronounced variability characterized by hyper- and hypo-correction values of spatial position of acetabular fragment. Conclusion. In contrast to standard preoperative planning the use of patient-specific templates during re-orienting triple pelvic osteotomy in children with dysplastic hip subluxation allows to level out possible errors in three-dimensional acetabulum positioning towards hyper- and hypo-correction (p<0.05) of pelvic component. This creates conditions to ensure adequate hip stability which is confirmed by key x-ray indices with values within normal reference range.

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Die 3‑fache Beckenosteotomie nach Tönnis u. Kalchschmidt

Cited by 9 publications

References 14 publications

Current Surgical Techniques in the Treatment of Adult Developmental Dysplasia of the Hip

Current Surgical Techniques in the Treatment of Adult Developmental Dysplasia of the Hip

Effects of different pelvic osteotomies on acetabular morphology in developmental dysplasia of hip in children

Patient-Specific Templates for Triple Pelvic Osteotomy in Children with Dysplastic Hip Subluxation (Preliminary Results)

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