Periacetabular Osteotomy: a Review of Swiss Experience

Overview

Journal Curr Rev Musculoskelet Med

Date 2014 Aug 24

PMID 25149193

Citations 8

Authors

Lorenz Buchler

Martin Beck

Affiliations

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Abstract

Symptomatic dysplasia of the hip and acetabular retroversion are possible causes of osteoarthritis in the young adult. Surgical management with reorientation of the acetabulum allows causal therapy of the deformity and preservation of the native hip joint. The Ganz' periacetabular osteotomy permits a free 3-dimensional reorientation of the acetabulum and respects the blood supply of the acetabular fragment. The posterior column remains intact with a stable fixation of the acetabular fragment and a preserved shape of the true pelvis. There is a significant learning curve with severe complications in up to 30 % of cases. Good results can be expected in the long-term follow-up if performed with correct indication at young age in hips with preserved joint cartilage and proper reorientation of the acetabular fragment. Overall survivorship is superior to the natural course of hip dysplasia with a preserved hip joint in 61 % after 20 years.

Citing Articles

Borderline Hip Dysplasia - Best Treated with Hip Arthroscopy or Periacetabular Osteotomy?.

Wilson E, Wagner K, Spiker A Curr Rev Musculoskelet Med. 2024; 17(12):538-547.

PMID: 39340721 PMC: 11652671. DOI: 10.1007/s12178-024-09928-5.

Radiologic Predictors for Clinical Improvement in PAO-A Perspective Study.

Kolodziejczyk K, Czwojdzinski A, Czubak-Wrzosek M, Czubak J J Clin Med. 2023; 12(5).

PMID: 36902624 PMC: 10003375. DOI: 10.3390/jcm12051837.

Hip dysplasia in adolescence: osteotomy in childhood improves the results of periacetabular osteotomy in adolescents and young adults : a prospective study.

Kolodziejczyk K, Czubak-Wrzosek M, Kwiatkowska M, Czubak J Bone Joint J. 2022; 104-B(7):775-780.

PMID: 35775182 PMC: 9251135. DOI: 10.1302/0301-620X.104B7.BJJ-2021-1771.R1.

Case Report: Intraarticular Iliopsoas Tendon causes Groin Pain Following Periacetabular Osteotomy.

Gebhardt S, Nonnenmacher L, Wassilew G, Zimmerer A Front Surg. 2022; 9:870993.

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The corona mortis: is it a rare and dangerous anomaly in adolescents undergoing periacteabular osteotomy?.

Hu A, McCarthy J, Breitenstein R, Uchtman M, Emery K, Whitlock P J Hip Preserv Surg. 2022; 8(4):354-359.

PMID: 35505810 PMC: 9052426. DOI: 10.1093/jhps/hnab079.

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