Triple osteotomy of the innominate bone. A procedure to accomplish coverage of the dislocated or subluxated femoral head in the older patient.
The triple osteotomy of the innominate bone is a total redirectional reconstruction and is obtained by circum-acetabular osteotomies through the ilium, ischium and pubis. The method achieves coverage of a dislocated or subluxated femoral head where other iliac osteotomies are ineffective or incomplete. Triple osteotomy was performed on 175 hips including 121 congenital dislocation-subluxations. The patients' ages ranged from 6 to 35, with 70 per cent falling between 9 and 12. Eighty-six per cent had a satisfactory result. Most of the unsatisfactory results were in cerebral palsy, myelodysplasia and peroneal muscular atrophy and associated with uncontrolled muscle contractures or progressive disease.
D000293:Adolescent; D000328:Adult; D001284:Atrophy; D002547:Cerebral Palsy / Q000150:complications; D002648:Child; D005270:Femur Head / Q000601:surgery*; D006615:Hip / Q000601:surgery*; D006617:Hip Dislocation / Q000601:surgery*; D006618:Hip Dislocation, Congenital / Q000601:surgery; D006801:Humans; D009132:Muscles / Q000473:pathology / Q000601:surgery; D010027:Osteotomy / Q000379:methods*; D013118:Spinal Cord Diseases / Q000150:complications