Pemberto osteotomy for the treatment of developmental dysplasia of the hip in older children

Ravishankar Vedantam, Ann Marie Capelli, Perry L. Schoenecker

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26 Scopus citations

Abstract

A retrospective analysis was done of the results of the Pemberton osteotomy for the treatment of developmental dysplasia of the hip in 16 hips of 14 children older than 7 years. The average age of the patients at the time of surgery was 11+6 years and the average follow-up was 4+10 years. Eleven hips required one or more surgical procedures concomitant with the Pemberton osteotomy to achieve a concentric and congruous reduction of the hip joint. None of the hips developed avascular necrosis of the acetabular fragment. The center-edge angle improved from a preoperative average of 1°to and average of 30°at the most recent follow-up. Correction of acetabular dysplasia was noted in 14 of the 16 hips, as demonstrated by the improvement in the acetabular index, the center-edge angle, and the Severin class. We believe that the Pemberton osteotomy can be a safe and effective procedure for the treatment of developmental dysplasia of the hip in the older child.

Original languageEnglish
Pages (from-to)254-258
Number of pages5
JournalJournal of Pediatric Orthopaedics
Volume18
Issue number2
DOIs
StatePublished - Jan 1 1998

Keywords

  • Acetabular dysplasia
  • Developmental dysplasia of the hip
  • Pelvic osteotomy
  • Pemberton

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