Ganz osteotomy and adult hip dysplasia

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Anterior to posterior X-ray images, before and after a PAO. How can we perform an efficient and accurate PAO. If dysplasia affects both hips, the surgeries are performed four to six months apart. Sink and his colleagues also use the three-dimensional CT scans to help plan in advance for anatomical variations in the pelvis they may encounter during surgery. Professor H Zhang directed the procedure and post edit. For patients in their 40s, the most effective treatment is dependent upon the level of hip arthritis.

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The Interface Between Periacetabular Osteotomy

At this stage, one pelvic clamp is also used to assist the Schanz screw to hold the acetabular fragment and rotate it laterally and inferiorly until the ideal position and ideal coverage are reached. Schematic diagram of periacetabular osteotomy PAO and the four cuts. National Center for Biotechnology Information , U. Going inside, the anteroinferior parts of the hip capsule and the pubis are exposed with the hip in slight flexion and adduction. Surgical Techniques General anesthesia with controlled hypotension is recommended.

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Preoperative planning for redirective

Anterior to posterior X-ray images, before and after a PAO. Acknowledgment Dr K Xiao recorded and edited the video. Clin Orthop Relat Res. Treatment for hip dysplasia ranges from symptomatic relief to surgical correction. If dysplasia affects both hips, the surgeries are performed four to six months apart.

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Description: C The second cut is a transverse osteotomy of the pubis immediately medial to iliopubic eminence. Then the quadrilateral bone cut the fourth cut, Fig. It is not uncommon to recommend a PAO in patients with mild forms of dysplasia when other surgeries have failed, such as a hip arthroscopy, which may repair the labrum but does not correct the underlying dysplasia. The wound is closed in layers. For some people, hip dysplasia results when the acetabulum does not develop fully, making it too shallow or otherwise misaligned to adequately contain and support the femoral head. The pitfalls are that learning curve of the PAO is slow, and there are relatively high complications in the first cases. PAO for hip dysplasia in adolescents and young adults. The ASIS with the soft tissue on medial side intact is retracted medially with a narrow Hohmann retractor to protect the lateral femoral cutaneous nerve.
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