[Joint preserving surgery of the adult hip: pelvic osteotomies].

Abstract

Deformity and malposition of the acetabulum can occur during the development of the hip. Developmental hip dysplasia and acetabular retroversion are possible causes of osteoarthritis in the young adult. Surgical management with reorientation of the acetabulum allows causal therapy of the deformity and preservation of the native hip joint. Established techniques are the Bernese periacetabular osteotomy (PAO) and the Tönnis and Kalchschmidt triple osteotomy of the pelvis. Both techniques permit three-dimensional correction of the position of the acetabulum. Advantages and disadvantages of each technique must be considered and are summarized in the present paper. If performed early (osteoarthritis grade Tönnis 0 and 1) with correct indication and proper technique, good results can be expected.

• Authors: L Büchler, M Beck, H Gollwitzer, B D Katthagen, A R Zahedi
• Journal: Der Orthopade (Orthopade) Vol. 41 Issue 11 Pg. 925-34; quiz 935-6 (Nov 2012) ISSN: 1433-0431 [Electronic] Germany
• Vernacular Title: Gelenkerhaltende Hüftchirurgie im Erwachsenenalter: Beckenosteotomien.
• PMID: 23096262 (Publication Type: Journal Article)

Topics

• Acetabulum (abnormalities, surgery)
• Femoracetabular Impingement (diagnostic imaging, surgery)
• Hip Dislocation, Congenital (diagnostic imaging, surgery)
• Hip Joint (surgery)
• Humans
• Organ Sparing Treatments (methods)
• Osteotomy (methods)
• Radiography