The pericapsular osteotomy of the os ilium in the treatment of flat acetabula
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Pemberton
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
Background:
- Pathological flat acetabulum is a common issue in hip dislocation, myelodysplasia, and cerebral palsy.
- Surgical correction is often necessary to improve hip joint function and stability.
Purpose of the Study:
- To evaluate the effectiveness of the Pemberton pericapsular osteotomy for correcting pathological flat acetabulum.
- To compare the Pemberton technique with other surgical methods in terms of correction and complication rates.
Main Methods:
- The study reviews surgical cases involving pelvic osteotomies and acetabuloplasties.
- The Pemberton pericapsular osteotomy, preferred since 1971, is analyzed based on long-term results.
Main Results:
- The Pemberton osteotomy demonstrates significant improvements in acetabular correction.
- Complication rates associated with the Pemberton technique are evaluated in comparison to alternative procedures.
Conclusions:
- The Pemberton pericapsular osteotomy is an effective surgical option for pathological flat acetabulum.
- This method offers advantages in achieving better correction and managing complications in pediatric hip conditions.
Abstract:
The operative correction of the pathological flat acetabulum in congenital dislocation of the hip, myelodysplasia and cerebral palsy can be performed with pelvic osteotomies and acetabuloplasties. In the light of our own experiences gained with different methods we prefer the pericapsular osteotomy of the ilium according to Pemberton since 1971. After the evaluation of the results the advantages of the method compared with other procedures are presented in the light of the improvements of correction and the rate of complication.