Innovations in Joint Preservation Procedures for the Dysplastic Hip "The Periacetabular Osteotomy".
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.
Adult Reconstruction and Adolescent and Young Adult Hip Service, Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Missouri.
Cecilia
C
Pascual-Garrido
Program in Physical Therapy, Washington University School of Medicine, St Louis, Missouri; Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Missouri.
Michael D
MD
Harris
Adult Reconstruction and Adolescent and Young Adult Hip Service, Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Missouri.
John C
JC
Clohisy
D000077:Acetabulum / Q000601:surgery*; D000328:Adult; D001182:Arthroscopy; D005260:Female; D005270:Femur Head / Q000601:surgery*; D005272:Femur Neck / Q000601:surgery; D006618:Hip Dislocation, Congenital / Q000601:surgery*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D010027:Osteotomy; D010146:Pain / Q000601:surgery; D011859:Radiography; D019651:Plastic Surgery Procedures; D016896:Treatment Outcome; D055815:Young Adult
developmental dysplasia of the hip; femoral deformities; hip arthroscopy; hip dysplasia; periacetabular osteotomy