Related Experiment Video
Updated: Apr 17, 2026
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
The Pelvic Support Osteotomy After Type IVA Septic Arthritis of the Hip
Cen Bytyqi1, Faton Morina1, Nderim Salihaj1
1Orthopaedic Department, University Clinical Center, Prishtina, Kosovo.
Insights
Pelvic support osteotomy effectively treats residual deformities from neonatal septic arthritis of the hip. This surgical intervention corrects gait abnormalities and leg length discrepancies in children.
Area of Science:
- Pediatric Orthopedics
- Surgical Innovation
- Hip Deformity Correction
Background:
- Neonatal septic arthritis of the hip, if misdiagnosed or inadequately treated, can lead to severe disabilities.
- Residual deformities pose significant challenges in pediatric orthopedic care.
- Type IVA neonatal septic arthritis of the hip requires specialized treatment strategies.
Introduction:
A misdiagnose and inadequate treatment of neonatal septic arthritis of the hip has multiple sequelae and causes a severe disability. The aim of this study is evaluation of treatment of residual deformity after type IVA neonatal septic arthritis of the hip by Pelvic support osteotomy.
Case Presentation:
A 11-year-old, white girl, was treated surgically by pelvic support osteotomy. The patient underwent two surgical interventions. The first operation consists in lengthening of the left femur for 6 cm with monolateral lengthening external fixation device. The second operation consists in pelvic support osteotomy of the left femur and lengthening for 4 cm. The limb was well aligned after healing, with the axis aligned under the medial wall of the acetabulum.
Conclusion:
Pelvic support osteotomy can successfully correct a Trendelenburg-Duchenne gait and simultaneously restore knee alignment and correct lower-extremity length discrepancy.
