[Acetabuloplasty - The Dega and Pemberton Technique]

Overview

Journal Orthopade

Specialty Orthopedics

Date 2016 Jul 8

PMID 27385388

Citations 4

Authors

A H Krieg

F Hefti

Affiliations

Soon will be listed here.

Abstract

Background: Hip dysplasia is the most common congenital deformity requiring surgical correction osteotomy in order to prevent early onset of secondary hip arthrosis. The shape of the acetabulum can be modified by Dega or Pemberton osteotomy and is indicated for hip dysplasia and luxation with irregularities of the socket for children aged between 2 and 12 when the y‑physis is still open.

Method: We will describe indication, contra-indication, preoperative planning as well as details of the Pemberton technique. In addition, we will provide practical advice based on our long-standing experience.

Results: We present long-term results from the literature and also from our department. In addition, we will explain and critically discuss our own experiences and the risks and complications of surgical techniques. Good long-term results are reported for acetabuloplasties and Salter osteotomy which are preferred for surgical treatment of hip dysplasia in early life. Advantages and disadvantages of both surgical techniques will be compared in the discussion section.

Conclusion: Dega and Pemberton acetabuloplasty shows good long-term results regarding prevention of a secondary coxarthrosis. However, correct indication is crucial since this surgical technique is more difficult compared to Salter osteotomy but is also associated with a higher correction potential and a lower complication rate.

Citing Articles

Bernese periacetabular osteotomy (PAO): from its local inception to its worldwide adoption.

Ganz R, Leunig M J Orthop Traumatol. 2023; 24(1):55.

PMID: 37917385 PMC: 10622391. DOI: 10.1186/s10195-023-00734-2.

Effects of different pelvic osteotomies on acetabular morphology in developmental dysplasia of hip in children.

Wen Z, Wu Y, Kuang G, Wen J, Lu M World J Orthop. 2023; 14(4):186-196.

PMID: 37155509 PMC: 10122774. DOI: 10.5312/wjo.v14.i4.186.

MRI-based assessment of acetabular version and coverage after previous Pemberton osteotomy in skeletally mature patients.

Bellova P, Blum S, Hartmann A, Thielemann F, Gunther K, Goronzy J J Child Orthop. 2021; 15(3):223-231.

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[Hip dysplasia-new and proven methods].

Eberhardt O, Wirth T Orthopade. 2019; 48(6):508-514.

PMID: 31073631 DOI: 10.1007/s00132-019-03736-3.

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