Transposition of the acetabulum after iliac ischial osteotomy in the treatment of hip dysplasia in infants

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Abstract


Background. Transposition of the acetabulum after pelvic osteotomy is the most effective surgical method to treat dysplastic hip joint disorders in patients of different ages. According to Salter, iliac osteotomy of the pelvis is the main surgical method used to correct dysplastic acetabulum in 7- and 8-year-old children. In older patients, the pubic symphysis and pelvic ligaments become more rigid, which significantly limits the degree of rotation of the acetabulum. In these cases, a triple pelvic osteotomy is performed to enhance the mobility of the acetabular fragment. This pubic bone osteotomy is performed near the femoral neurovascular bundle, which may be damaged during the procedure.

Aim. To describe a technique for transposition of the acetabulum after iliac and ischial osteotomy of the pelvis, which was developed to reduce trauma, prevent vascular complications, and increase postoperative stability of the pelvic ring.

Materials and methods. A method developed by the authors for transposition of the acetabulum after iliac and sciatic pelvic osteotomy is described in detail. The surgical method was performed 99 times on 89 children with dysplastic hip joint disorders, and the results are presented.

Conclusion. Transposition of the acetabulum after iliac and ischial pelvic osteotomy is an effective treatment for dysplastic instability of the acetabulum in children aged 9–16 years. The procedure is indicated when it is necessary to rotate the acetabular fragment by more than 25°, and there is no need for hip medialization.

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About the authors

Vladimir E Baskov

The Turner Scientific and Research Institute for Children’s Orthopedics

Author for correspondence.
Email: dr.baskov@mail.ru

Russian Federation MD, PhD, head of the department of hip pathology. The Turner Scientific and Research Institute for Children’s Orthopedics

Mikhail M Kamosko

The Turner Scientific and Research Institute for Children’s Orthopedics

Email: fake@eco-vector.com

Russian Federation MD, PhD, professor, head of the department of hip pathology. The Turner Scientific and Research Institute for Children’s Orthopedics

Dmitry B Barsukov

The Turner Scientific and Research Institute for Children’s Orthopedics

Email: dbbarsukov@gmail.com

Russian Federation MD, Ph.D, senior research associate of the department of hip pathology. The Turner Scientific and Research Institute for Children’s Orthopedics

Ivan Yu Pozdnikin

The Turner Scientific and Research Institute for Children’s Orthopedics

Email: pozdnikin@gmail.com

Russian Federation MD, Ph.D, research associate of the department of hip pathology. The Turner Scientific and Research Institute for Children’s Orthopedics

Vadim V Kozhevnikov

Federal Center of traumatology, orthopedics and endoprosthesic replacement

Email: fake@eco-vector.com

Russian Federation vadim-barnaul@bk.ru

Igor V Grigoriev

The Turner Scientific and Research Institute for Children’s Orthopedics

Email: fake@eco-vector.com

Russian Federation MD, chief of the department of pediatric traumatology and orthopedics. Federal Center of traumatology, orthopedics and endoprosthesic replacement, Cheboksari

Pavel I Bortulev

Federal Center of traumatology, orthopedics and endoprosthesic replacement

Email: pavel.bortulev@yandex.ru

Russian Federation MD, research associate of the department of pediatric traumatology and orthopedics. The Turner Scientific and Research Institute for Children’s Orthopedics.

References

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Copyright (c) 2016 Baskov V.E., Kamosko M.M., Barsukov D.B., Pozdnikin I.Y., Kozhevnikov V.V., Grigoriev I.V., Bortulev P.I.

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