Innovations in Joint Preservation Procedures for the Dysplastic Hip “The Periacetabular Osteotomy”

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Abstract

The Bernese periacetabular osteotomy is an effective treatment for symptomatic developmental dysplasia in the prearthritic young adult hip. Refinements in the periacetabular osteotomy technique and perioperative management have markedly improved the clinical outcomes and recovery in these patients. We will review the clinical presentation of acetabular dysplasia, indications for surgery, perioperative management, and contemporary refinements in technique including refined acetabular reduction, adjunctive hip arthroscopy, femoral head-neck osteochondroplasty, femoral procedures, and rapid recovery protocols. In well-selected patients, this reconstructive osteotomy should be considered safe and effective in alleviating pain and improving hip function in patients with symptomatic acetabular dysplasia.

Original languageEnglish
Pages (from-to)S32-S37
JournalJournal of Arthroplasty
Volume32
Issue number9
DOIs
StatePublished - Sep 2017

Keywords

  • developmental dysplasia of the hip
  • femoral deformities
  • hip arthroscopy
  • hip dysplasia
  • periacetabular osteotomy

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