Copyright
©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. May 18, 2016; 7(5): 280-286
Published online May 18, 2016. doi: 10.5312/wjo.v7.i5.280
Published online May 18, 2016. doi: 10.5312/wjo.v7.i5.280
Bernese periacetabular osteotomy for hip dysplasia: Surgical technique and indications
Atul F Kamath, Department of Orthopedic Surgery, Center for Hip Preservation, Pennsylvania Hospital, Philadelphia, PA 19107, United States
Author contributions: Kamath AF solely contributed to this paper.
Conflict-of-interest statement: The author has no conflicts of interest to disclose pertaining to the subject of this review manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Atul F Kamath, MD, Department of Orthopedic Surgery, Center for Hip Preservation, Pennsylvania Hospital, 800 Spruce Street, 8th Floor Preston, Philadelphia, PA 19107, United States. akamath@post.harvard.edu
Telephone: +1-215-6878169 Fax: +1-215-8292492
Received: May 24, 2015
Peer-review started: May 25, 2015
First decision: October 8, 2015
Revised: December 20, 2015
Accepted: February 14, 2016
Article in press: February 16, 2016
Published online: May 18, 2016
Peer-review started: May 25, 2015
First decision: October 8, 2015
Revised: December 20, 2015
Accepted: February 14, 2016
Article in press: February 16, 2016
Published online: May 18, 2016
Core Tip
Core tip: The periacetabular osteotomy has been used to address structural deformity in young patients with acetabular dysplasia. The technique through a modified Smith-Petersen approach offers advantages: Preservation of the posterior column adds to the stability of the hemipelvis and protection of the sciatic nerve, preservation of the acetabular blood supply, and maintenance of hip abductor musculature. The juxta-articular osteotomy planes offer the ability to effect powerful deformity correction about an ideal center of rotation. While maximizing joint stability, coverage and congruency, the acetabular reorientation must also be assessed in light of the impingement-free range of motion.