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[Acetabuloplasty - The Dega and Pemberton technique]
1Kinderorthopädie, Universitätskinderspital beider Basel (UKBB), Spitalstrasse 33, 4056, Basel, Schweiz. andreas.krieg@ukbb.ch.
Der Orthopade
|July 8, 2016
Summary
Pemberton acetabuloplasty effectively prevents secondary hip arthrosis in children with hip dysplasia. This surgical technique, while complex, offers significant correction potential and a lower complication rate compared to Salter osteotomy.
Area of Science:
- Pediatric Orthopedics
- Surgical Techniques
- Hip Dysplasia Management
Background:
- Hip dysplasia is a common congenital deformity necessitating surgical correction to prevent early-onset secondary hip arthrosis.
- Acetabular modification via Dega or Pemberton osteotomy is indicated for hip dysplasia and luxation in children aged 2-12 with an open y-physis.
Purpose of the Study:
- To detail the indications, contraindications, and preoperative planning for the Pemberton technique.
- To provide practical insights based on extensive clinical experience with acetabuloplasty.
Main Methods:
- Description of the Pemberton osteotomy technique.
- Review of literature and departmental long-term results for acetabuloplasty and Salter osteotomy.
- Critical discussion of surgical experiences, risks, and complications.
Main Results:
- Acetabuloplasties and Salter osteotomy demonstrate good long-term outcomes for treating hip dysplasia in early life.
- Comparison of the advantages and disadvantages of Dega/Pemberton acetabuloplasty versus Salter osteotomy.
Conclusions:
- Dega and Pemberton acetabuloplasty yield favorable long-term results in preventing secondary coxarthrosis.
- Correct patient indication is paramount for this technique, which, despite its complexity, offers superior correction and fewer complications than Salter osteotomy.
