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Direct Lateral Approach for Triple Pelvic Osteotomy
- Source :
- The Journal of the American Academy of Orthopaedic Surgeons. 28(2)
- Publication Year :
- 2019
-
Abstract
- Triple pelvic osteotomy (TPO) involves periacetabular osteotomies of the ilium, ischium, and pubis to reorient the acetabulum. This operation is indicated in certain situations for the treatment of developmental dysplasia of the hip, dysplastic neuromuscular hips, and for containment of the femoral head in cases of Legg-Calvé-Perthes disease.This retrospective cohort study compares radiographic outcomes of patients who underwent TPO using two different techniques and describes a novel single-incision direct lateral approach. TPO was performed on 22 patients by the senior author. The first 10 patients underwent TPO through a single-incision anterolateral approach. The last 12 patients underwent TPO using the direct lateral approach. Preoperative and postoperative pelvic radiographs were reviewed for each patient, and the migration index and center-edge angle were recorded.The migration index and center-edge angle were evaluated and were not found to be significantly different between the anterolateral and direct lateral groups. The direct lateral approach is described.The direct lateral approach for TPO is equivalent to the anterolateral approach on radiographic evaluation. Advantages of the direct lateral approach include direct visualization of the ischial osteotomy, effective mobilization of the acetabulum, and safety of the sciatic nerve.
- Subjects :
- musculoskeletal diseases
Adolescent
Radiography
03 medical and health sciences
0302 clinical medicine
Medicine
Humans
Orthopedics and Sports Medicine
Child
Pelvic Bones
Hip Dislocation, Congenital
Retrospective Studies
Orthodontics
030222 orthopedics
business.industry
Developmental dysplasia
Acetabulum
030229 sport sciences
Ischium
Osteotomy
Legg-Calve-Perthes Disease
Surgery
business
Pelvic osteotomy
Lateral approach
Subjects
Details
- ISSN :
- 19405480
- Volume :
- 28
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- The Journal of the American Academy of Orthopaedic Surgeons
- Accession number :
- edsair.doi.dedup.....e7324125f7a48bae1508c5cdceb9ef63