A Modified Triple Pelvic Osteotomy for the Treatment of Hip Hypoplasia

Authors

1 Orthopedic Research Center Mashhad University of Medical Sciences, Mashhad, 91766- 99199, Iran

2 Orthopedic Research Center Mashhad University of Medical Sciences, Mashhad, 91766- 99199, Iran

Abstract

 
Background:
The prevalence of hip dysplasia is 1 in 1000. Several pelvic osteotomy methods have been developed to prevent early osteoarthritis, such as triple osteotomy. In this study we are going to introduce our new technique that was done on 4 patients with favorable short-term results.
 
Methods:
Four patients underwent triple osteotomy and fixation using a reconstruction plate and early weight bearing was started.
Results:
The Harris Hip Score, limb length, center-edge angle, and acetabular inclination showed improvement.
Conclusion:
This modified technique is suggested for corrective surgery on adult dysplastic hips.

Keywords


Sankar WN, Weiss J, Skaggs DL. Orthopaedic conditions in the newborn.  J Am Acad Orthop Surg. 2009; 17(2):112-22.

  • Cooperman DR, Wallensten R, Stulberg SD. Acetabular dysplasia in the adult. Clin Orthop Relat Res. 1983;(175): 79-85. 

  • Wedge JH, Wasylenko MJ. The natural history of congenital disease of the hip.  J Bone Joint Surg Br. 1979; 61-B(3):334-8.

  • Wiberg G. Studies on dysplastic acetabulum and congenital subluxation of the hip joint with special reference to the complications of osteoarthritis. Acta Chir Scand  Suppl. 1939;83:1-135.

  • Harris NH. Acetabular growth potential in congenital dislocation of the hip and some factors upon which it may depend. Clin Orthop Relat Res. 1976;(119):99-106.

  • Hailer NP, Soykaner L , Ackermann H, Rittmeister M. Triple osteotomy of the Pelvis for acetabular dysplasia. J Bone Joint Surg Am. 2005; 87(12):1622-26.

  • de Kleuver M, Kooijman MA, Pavlov PW, Veth RP. Triple osteotomy of the pelvis for acetabular dysplasia: results at 8 to 15 years. J Bone Joint Surg Br. 1997; 79(2):225-9.

  • Steel HH. Triple osteotomy of the innominate bone. J Bone Joint Surg Am. 1973;55(2):343-50.

  • Ganz R, Klaue K, Vinh TS, Mast JW. A new periacetabular osteotomy for the treatment of hip dysplasias: technique and preliminary results. Clin Orthop Relat Res. 1988;(418):3-8

  • Schramm M, Hohmann D, Radespiel-Troger M, Pitto RP. The wagner spherical osteotomy of the acetabulum. Surgical technique. J Bone Joint Surg Am. 2004;86:73-80.

  • Ninomiya S, Tagawa H. Rotational acetabular osteotomy for the dysplastic hip. J Bone Joint Surg Am. 1984;66:430–6.

  • Steel HH. Triple osteotomy of the innominate bone. A procedure to accomplish coverage of the dislocated or subluxated femoral head in the older patient. Clin Orthop Relat Res. 1977;122:116-27.

  • Shlens M. congenital hip dysplasia. Calif Med. 1973;118(3):33.

  • Hadley NA, Brown TD, Weinstein SL. The effect of contact pressure  elevation and aseptic necrosis on the long-term outcome of congenital hip dislocation. J Orthop Res. 1990; 8: 504-13.

  • Millis MB, Kim YJ. Rationale of osteotomy and related procedures for hip preservation: a review. Clin Orthop Relat Res. 2002; 405: 108-21.

  • Faciszewski T, Coleman SS, Biddulph G. Triple innominate osteotomy for acetabular dysplasia. J Pediatric Orthop. 1993;13(4):426-30.

  • Guille JT, Forlin E, Kumar SJ, Mac-Even GD. Triple osteotomy of the innominate bone in treatment of developemental dysplasia of the hip. J Pediatric Orthop. 1992; 12(6): 718-21.