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The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

San Diego Acetabuloplasty.

Andrew G Georgiadis^1,2, Tom F Novacheck^1,2, Vidyadhar V Upasani³

¹Department of Orthopaedic Surgery, Gillette Children's Specialty Healthcare, St. Paul, MN, USA.

Journal of the Pediatric Orthopaedic Society of North America

|June 22, 2026

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The San Diego acetabuloplasty effectively improves hip coverage in neuromuscular hip dysplasia. This procedure offers predictable outcomes for posterior and lateral acetabular insufficiency, especially in cerebral palsy patients.

Area of Science:

Orthopedic Surgery
Pediatric Orthopedics
Reconstructive Surgery

Background:

Neuromuscular hip dysplasia commonly causes posterior and lateral acetabular insufficiency.
Various pelvic osteotomies exist for treating this condition.

Purpose of the Study:

To detail the San Diego acetabuloplasty technique for improving acetabular coverage.
To present clinical and radiographic outcomes of the procedure.

Main Methods:

The San Diego acetabuloplasty involves outer-table ilium dissection, preserving an anterior-medial hinge.
The procedure requires minimal bicortical violation in specific iliac regions.
It can be combined with femoral osteotomy for single-stage hip reconstruction.

Keywords:

Acetabuloplasty Neuromuscular hip dysplasia Neuromuscular hip subluxation San Diego San Diego acetabuloplasty

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Main Results:

The San Diego acetabuloplasty predictably enhances posterior and lateral acetabular coverage of the femoral head.
Good clinical and radiographic results are achieved, particularly in cerebral palsy patients.
Positive outcomes are reported when combined with single-stage hip reconstruction.

Conclusions:

The San Diego acetabuloplasty is an effective technique for addressing acetabular insufficiency in neuromuscular hip dysplasia.
The procedure demonstrates favorable results, especially when integrated into single-stage hip reconstruction for specific patient populations.