Recurrent Posterior Dislocation of the Hip Treated with Periacetabular Osteotomy

Yamanaka, Yasuhiro; Ito, Hiroshi; Hirayama, Teruhisa; Tanino, Hiromasa; Shimoda, Tatsuya; Matsuno, Takeo

doi:10.2106/jbjs.j.00561

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…Capsular repair alone may not provide joint stability, especially in a young patient with a dysplastic acetabulum and a very active lifestyle. Strong posterior and lateral bone support may be necessary to ensure stability of a dysplastic hip with recurrent hip dislocation [6]. This approach yielded excellent results in this study, with the patient actively wakeboarding at 1 year of follow-up.…”

Section: Discussionmentioning

confidence: 98%

Computer-assisted anteverting eccentric rotational acetabular osteotomy for recurrent posterior dislocation associated with acetabular retroversion: a case report

et al. 2019

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BackgroundAcetabular retroversion is a rotatory abnormality of the entire hemipelvis that includes anterior over-coverage and posterior deficiency of the acetabulum, and is associated with pincer-type femoroacetabular impingement and posterior hip instability. Acetabular retroversion is thought to cause posterior dislocation of the hip in athletes due to both the pincer-type femoroacetabular impingement and posterior hip instability.Case presentationA 26-year-old Japanese man had acetabular retroversion that induced recurrent posterior dislocation of his hip due to excessive hip flexion while wakeboarding. We performed anteverting eccentric rotational acetabular osteotomy using preoperative three-dimensional planning and an intraoperative computerized navigation system. Our patient was able to return to sports activities 1 year postoperatively.ConclusionsBoth preoperative three-dimensional surgical planning software and an intraoperative navigation system can provide a highly accurate map for this complicated surgery that simultaneously improves the pincer-type femoroacetabular impingement and posterior deficiency of the acetabulum.

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Section: Discussionmentioning

confidence: 98%

Computer-assisted anteverting eccentric rotational acetabular osteotomy for recurrent posterior dislocation associated with acetabular retroversion: a case report

et al. 2019

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“…Global acetabular deficiency, as in hip dysplasia, can predispose to posterior hip instability because of decreased coverage and functional retroversion. Yamanaka et al presented a case of recurrent posterior instability with radiographic findings of dysplasia treated with a PAO 15 (Table I). The presence of a focal acetabular deficiency has not received as much attention, although it is well described in the glenoid.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Post-traumatic Posterior Hip Dislocation Treated Using a Bone Block Technique

Amer

Dunlop

2022

JBJS Case Connector

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Case: A 26-year-old man presented with recurrent native hip dislocation after an initially traumatic posterior right hip dislocation. The combined soft-tissue and bony deficiency was addressed using an autologous bone block technique, as previously popularized for shoulder instability. Thirteen years postoperatively, no subsequent dislocations occurred, and the patient has an excellent functional outcome. Conclusion: The bone block technique for hip stabilization can be used to address focal acetabular deficiencies with promising long-term follow-up.

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Modern Surgical Treatment of Recurrent Posterior Dislocation of the Native Hip

Carlson

Desy

Johnson

et al. 2018

The Journal of Bone and Joint Surgery

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Recurrent Posterior Dislocation of the Hip Treated with Periacetabular Osteotomy

Cited by 3 publications

References 13 publications

Computer-assisted anteverting eccentric rotational acetabular osteotomy for recurrent posterior dislocation associated with acetabular retroversion: a case report

Computer-assisted anteverting eccentric rotational acetabular osteotomy for recurrent posterior dislocation associated with acetabular retroversion: a case report

Recurrent Post-traumatic Posterior Hip Dislocation Treated Using a Bone Block Technique

Modern Surgical Treatment of Recurrent Posterior Dislocation of the Native Hip

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