Preoperative planning for redirective, periacetabular osteotomies.

Albers, Christoph; Rogers, Piet; Wambeek, Nicholas; Ahmad, Sufian; Yates, Piers J; Prosser, Gareth H (2017). Preoperative planning for redirective, periacetabular osteotomies. Journal of Hip Preservation Surgery, 4(4), pp. 276-288. Oxford University Press 10.1093/jhps/hnx030

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Redirective, periacetabular osteotomies (PAO) represent a group of surgical procedures for treatment of developmental dysplasia of the hip (DDH) in skeletally mature and immature patients. The ultimate goal of all procedures is to reduce symptoms, improve function and delay or prevent progression of osteoarthritis. During the last two decades, the understanding of the underlying pathomechanisms has continuously evolved. This is mainly attributable to the development of the femoroacetabular impingement concept that has increased the awareness of the underlying three-dimensional complexity associated with DDH. With increasing knowledge about the pathobiomechanics of dysplastic hips, diagnostic tools have improved allowing for sophisticated preoperative analyses of the morphological and pathobiomechanical features, and early recognition of degenerative changes, which may alter the long-term outcome. As redirective, PAO are technically demanding procedures, preoperative planning is crucial to avoid intraoperative obstacles and to sufficiently address the patient-specific deformity. Although conventional radiography has been used for decades, it has not lost its primary role in the diagnostic work-up of patients with DDH. Furthermore, an increasing number of modern imaging techniques exists allowing for assessment of early cartilage degeneration (biochemical magnetic resonance imaging) as well as 3D planning and computer-based virtual treatment simulation of PAO. This article reviews the literature with regard to the current concepts of imaging of DDH, preoperative planning and treatment recommendations for redirective, PAO.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Albers, Christoph and Ahmad, Sufian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2054-8397

Publisher:

Oxford University Press

Language:

English

Submitter:

Lilianna Bolliger

Date Deposited:

25 Jan 2018 16:25

Last Modified:

25 Jan 2018 16:25

Publisher DOI:

10.1093/jhps/hnx030

PubMed ID:

29250336

BORIS DOI:

10.7892/boris.110011

URI:

https://boris.unibe.ch/id/eprint/110011

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