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Bernese Peri Acetabular Osteotomy-A Review Article.

Aaradhana J Jha1

  • 1Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, Suite 510, 1211 Union Avenue, Memphis, TN 38104, USA.

The Orthopedic Clinics of North America
|November 16, 2025
PubMed
Summary

Developmental dysplasia of the hip causes pain and dysfunction, often leading to early osteoarthritis. Bernese periacetabular osteotomy effectively treats this condition in adults, preventing the need for hip replacement surgery.

Keywords:
Bernese periacetabular osteotomyGanz osteotomyHip dysplasiaHip preservationPeriacetabular osteotomy (PAO)

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Area of Science:

  • Orthopedic Surgery
  • Hip Preservation Surgery

Background:

  • Developmental dysplasia of the hip (DDH) is a major cause of hip pain, dysfunction, and early osteoarthritis globally.
  • DDH involves acetabular insufficiency, leading to reduced joint contact and acetabular rim overload.

Purpose of the Study:

  • To evaluate the efficacy of Bernese periacetabular osteotomy (PAO) in managing skeletally mature hip dysplasia.

Main Methods:

  • Bernese periacetabular osteotomy (PAO), a surgical hip redirectional technique.
  • Developed by Ganz and colleagues in 1988.

Main Results:

  • PAO is a reliable surgical option for adult hip dysplasia.
  • Achieves excellent outcomes, delaying or preventing the need for hip arthroplasty.

Conclusions:

  • Bernese PAO is a successful treatment for hip dysplasia in skeletally mature patients.
  • Offers a long-term solution, preserving native hip joint function and avoiding early joint replacement.