TY - JOUR
T1 - Pemberton pelvic osteotomy and varus rotational osteotomy in the treatment of acetabular dysplasia in patients who have static encephalopathy
AU - Gordon, J. Eric
AU - Capelli, Ann Marie
AU - Strecker, William B.
AU - Delgado, Eliana D.
AU - Schoenecker, Perry L.
PY - 1996/12
Y1 - 1996/12
N2 - Forty-four patients (fifty-two hips) who had static encephalopathy and acetabular dysplasia were managed with a Pemberton osteotomy as part of a comprehensive operative approach. Thirty-three patients had quadriplegia and were unable to walk; the remaining eleven patients had diplegia and could walk. The age at the time of the operation ranged from four years and five months to sixteen years and five months, as an ripen triradiate cartilage is a prerequisite for the Pemberton procedure. Concomitant operative procedures included a yarns rotational osteotomy in fifty of the involved hips, a soft- tissue release in thirty-seven hips, and an open reduction in thirteen hips. The mean center-edge angle preoperatively was -11 degrees (range, -80 to 17 degrees), which improved to a mean of 27 degrees (range, 5 to 62 degrees) at the time of the latest follow-up. The mean duration of follow-up was four years (range, two years to eight years and eight months). At the time of writing, none of the hips had redislocated but one hip had subluxated. Eight of the hips had been painful preoperatively, but none of these was painful at the time of the most recent follow-up. One patient who had not had pain in the hip preoperatively had pain at the time of the follow-up evaluation. There were no complications attributable to posterior uncovering of the hip. The age of the patient at the time of the operation had no discernible effect on the result.
AB - Forty-four patients (fifty-two hips) who had static encephalopathy and acetabular dysplasia were managed with a Pemberton osteotomy as part of a comprehensive operative approach. Thirty-three patients had quadriplegia and were unable to walk; the remaining eleven patients had diplegia and could walk. The age at the time of the operation ranged from four years and five months to sixteen years and five months, as an ripen triradiate cartilage is a prerequisite for the Pemberton procedure. Concomitant operative procedures included a yarns rotational osteotomy in fifty of the involved hips, a soft- tissue release in thirty-seven hips, and an open reduction in thirteen hips. The mean center-edge angle preoperatively was -11 degrees (range, -80 to 17 degrees), which improved to a mean of 27 degrees (range, 5 to 62 degrees) at the time of the latest follow-up. The mean duration of follow-up was four years (range, two years to eight years and eight months). At the time of writing, none of the hips had redislocated but one hip had subluxated. Eight of the hips had been painful preoperatively, but none of these was painful at the time of the most recent follow-up. One patient who had not had pain in the hip preoperatively had pain at the time of the follow-up evaluation. There were no complications attributable to posterior uncovering of the hip. The age of the patient at the time of the operation had no discernible effect on the result.
UR - http://www.scopus.com/inward/record.url?scp=0030480582&partnerID=8YFLogxK
U2 - 10.2106/00004623-199612000-00010
DO - 10.2106/00004623-199612000-00010
M3 - Article
C2 - 8986664
AN - SCOPUS:0030480582
SN - 0021-9355
VL - 78
SP - 1863
EP - 1871
JO - Journal of Bone and Joint Surgery - Series A
JF - Journal of Bone and Joint Surgery - Series A
IS - 12
ER -