Pelvic Osteotomies in the Child and Young Adult Hip: Indications and Surgical Technique

Selberg, Courtney M.; Chidsey, Berrien; Skelton, Anne; Mayer, Stephanie W.

doi:10.5435/jaaos-d-19-00223

Cited by 17 publications

(18 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In skeletally mature patients, reorientation osteotomy represents the gold standard for treatment of the underlying pathomorphology. The two most prominent types of osteotomy that are commonly performed in adults include the triple Tönnis osteotomy and the periacetabular Ganz osteotomy (PAO) [9,10]. It has been well described that DDH is frequently abundant despite the absence of common risk factors, making selective screening difficult [11].…”

Section: Ca 50% Of Patients Of Patients With Hip Dysplasia In Adultho...mentioning

confidence: 99%

Fifty percent of patients undergoing periacetabular osteotomy for hip dysplasia showed normal findings upon neonatal ultrasound screening

et al. 2023

View full text Add to dashboard Cite

Developmental dysplasia of the hip (DDH) is characterized by the pathomorphology of inadequate acetabular coverage of the femoral head leading to increased loading of the articular surface and acetabular rim. If left untreated, this ultimately leads to osteoarthritis. Germany introduced a nationwide universal ultrasound screening program for all newborn infants in 1996. Subsequently, the incidence of undiagnosed hip dislocation was significantly reduced. In this consecutive series of patients who underwent periacetabular osteotomy for the treatment of symptomatic dysplasia of the hip between October 2014 and October 2022 data regarding the U3 screening examination were analyzed. The data included whether the examination was performed, whether the findings were positive or negative, whether the patients underwent any form of treatment in the case of a positive finding and whether a control X‑ray was performed. This study provides evidence that acetabular undercoverage cannot be ruled out based on a normal finding in ultrasonography screening. Furthermore, the study also shows that residual dysplasia may persist despite attempts of conservative treatment. Graphic abstract

show abstract

Section: Ca 50% Of Patients Of Patients With Hip Dysplasia In Adultho...mentioning

confidence: 99%

Fifty percent of patients undergoing periacetabular osteotomy for hip dysplasia showed normal findings upon neonatal ultrasound screening

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Redirectional osteotomy of the pelvis changes the direction of the acetabulum, increases the contact area between the acetabulum and the femoral head, and increases the area of hyaline cartilage in the weight-bearing area of the acetabulum. It is characterized by repositioning the acetabulum to improve the anterolateral acetabular cover without changing the size and shape of the hip, which is an incomplete osteotomy[ 51 ]. The common redirectional osteotomies include Salter, periacetabular and triple pelvic osteotomy.…”

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

View full text Add to dashboard Cite

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.

show abstract

“…For all acetabuloplasty procedures, care should be taken to protect the sciatic nerve and the superior gluteal neurovascular bundle in the greater sciatic notch by placing the blunt retractors subperiosteally in the notch ( 23 ). Pemberton, Dega, San Diego and Salter osteotomies need a bone graft (iliac autograft, graft from femur osteotomy or allograft) to hold the correction.…”

Section: Standard Anterior Surgical Approachmentioning

confidence: 99%

Pelvic osteotomies in hip dysplasia: why, when and how?

et al. 2022

View full text Add to dashboard Cite

Acetabular dysplasia is a significant problem in the spectrum of developmental dysplasia of hip. In a younger child, positioning the femoral head into the acetabulum helps in reciprocal remodeling of the acetabulum and correction of dysplasia. In an older child, the remodeling potential is limited and often the acetabular dysplasia needs surgical intervention in the form of a pelvic osteotomy. Thus, pelvic osteotomy forms an integral part of surgical management of hip dysplasia. The ultimate goal of these osteotomies is to preclude or postpone the development of osteoarthritis and add more years of life to the native hip. Pelvic osteotomies play a pivotal role in normalizing hip morphology. The choice of pelvic osteotomy depends on the age of a child, the type of dysplasia and the status of the tri-radiate cartilage. Several types of re-directional and reshaping pelvic osteotomies have been described in the literature to improve the stability and restore the anatomy and biomechanics of the dysplastic hip. This article attempts to review the current indications for various pelvic osteotomies with a brief description of their techniques along with the outcomes and complications published thus far. Besides, the guidelines to choose the right pelvic osteotomy are also provided.

show abstract

Pelvic Osteotomies in the Child and Young Adult Hip: Indications and Surgical Technique

Cited by 17 publications

References 37 publications

Fifty percent of patients undergoing periacetabular osteotomy for hip dysplasia showed normal findings upon neonatal ultrasound screening

Fifty percent of patients undergoing periacetabular osteotomy for hip dysplasia showed normal findings upon neonatal ultrasound screening

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

Pelvic osteotomies in hip dysplasia: why, when and how?

Contact Info

Product

Resources

About