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[Triple pelvic osteotomy in our practice--eight years later]
Z Vukasinović1, Dj Spasovski, G Cobeljić
1Institut za ortopedsko-hirurske bolesti "Banjica" Beograd Odeljenje za decju ortopediju.
Acta Chirurgica Iugoslavica
|October 22, 2005
Summary
Triple pelvic osteotomy significantly improves hip anatomy in young patients. This surgical technique offers functional benefits, with rare complications like nonunion reported.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
Context:
- Triple pelvic osteotomy is a surgical procedure used to correct hip dysplasia.
- Integrating this technique into daily clinical practice requires careful evaluation of outcomes.
Purpose:
- To review the authors' eight-year experience with triple pelvic osteotomy using the Tonnis-Vladimirov method.
- To assess the anatomical and functional results of the procedure in patients with hip dysplasia.
Summary:
- Sixty-six hips in 55 patients (average age 15 years, 4 months) underwent triple pelvic osteotomy.
- Anatomical improvement, measured by the CE angle of Wiberg, showed a statistically significant increase (preoperative: 16.4±10.8 degrees; postoperative: 43.6±11.8 degrees).
- Functional improvements, including gait and range of motion, were observed in most cases, though not statistically significant. Asymptomatic pubic and/or ischial nonunion occurred rarely (7 patients).
Impact:
- Demonstrates the effectiveness of triple pelvic osteotomy in improving hip joint anatomy and function in adolescents.
- Provides valuable clinical insights for surgeons considering this procedure for hip dysplasia.
- Highlights the safety profile of the Tonnis-Vladimirov method, noting infrequent complications.