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Pemberton Osteotomy for Acetabular Dysplasia.

Shier-Chieg Huang1, Ting-Ming Wang1, Kuan-Wen Wu2

  • 1Department of Orthopaedic Surgery, National Taiwan University Hospital, No. 7, Chung Shan South Road, Taipei 100, Taipei, Taiwan.

JBJS Essential Surgical Techniques
|March 19, 2021
PubMed
Summary

Pemberton osteotomy is a safe and effective surgical treatment for developmental dysplasia of the hip (DDH). This procedure shows excellent long-term outcomes with no redislocations or need for further surgery in patients with DDH.

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Hip Dysplasia Treatment

Background:

  • Developmental dysplasia of the hip (DDH) is a common condition requiring effective surgical intervention.
  • The Pemberton osteotomy has been utilized as a primary treatment for DDH since 1993.

Purpose of the Study:

  • To evaluate the long-term efficacy and safety of the Pemberton osteotomy for treating developmental dysplasia of the hip.

Main Methods:

  • Open reduction with Pemberton osteotomy performed on over 550 patients.
  • Detailed surgical steps include anterior iliofemoral incision, iliopsoas tenotomy, open reduction, osteotomy, iliac bone graft insertion, and hip spica casting.
  • Clinical and radiographic review of 49 patients with a minimum 10-year follow-up.

Main Results:

  • No redislocations were observed in the reviewed patient cohort.
  • No patients required additional surgical intervention for residual hip dysplasia post-Pemberton osteotomy.
  • The procedure demonstrated sustained hip stability and anatomical correction.

Conclusions:

  • The Pemberton osteotomy is a reliable and effective surgical technique for the treatment of developmental dysplasia of the hip.
  • It offers excellent long-term outcomes, minimizing the risk of redislocation and the need for revision surgery.
  • This method provides a durable solution for hip dysplasia, supporting normal hip function.