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Related Experiment Videos

Double innominate osteotomy.

D H Sutherland, R Greenfield

    The Journal of Bone and Joint Surgery. American Volume
    |December 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Double innominate osteotomy effectively treats acetabular insufficiency. This surgical technique improves hip coverage and stability in patients with hip dislocation and other related conditions.

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    Area of Science:

    • Orthopedic surgery
    • Pediatric orthopedics
    • Hip reconstructive surgery

    Background:

    • Acetabular insufficiency can result from congenital hip dislocation and other hip pathologies.
    • Inadequate acetabular coverage of the femoral head leads to instability and potential long-term joint damage.

    Purpose of the Study:

    • To evaluate the efficacy of double innominate osteotomy in patients with acetabular insufficiency.
    • To assess the impact of this surgical technique on acetabular coverage, femoral head positioning, and hip stability.

    Main Methods:

    • The study involved twenty-five patients with acetabular insufficiency.
    • A double innominate osteotomy was performed, involving an initial iliac (Salter) osteotomy followed by a second osteotomy medial to the obturator foramen.

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  • This procedure was performed in children over six years old, adolescents, and adults.

    • Main Results:

    • The double innominate osteotomy significantly increased acetabular rotation and coverage of the femoral head.
    • Patients experienced an average improvement of 27 degrees in the center-edge angle and a 19.5-degree decrease in the acetabular index.
    • The femoral head was shifted medially by an average of 1.5 cm, reducing the femoral lever arm.
    • Hip stability was achieved in twenty-three out of twenty-five patients.

    Conclusions:

    • Double innominate osteotomy is an effective surgical option for acetabular insufficiency.
    • The procedure enhances acetabular coverage and improves hip stability, particularly in older children, adolescents, and adults.
    • This technique offers benefits in terms of joint congruency and biomechanics for hip reconstruction.