Top

Clinical Orthopaedics and Related Research®

Published in:

01-04-2008 | Symposium: Developmental Dysplasia of the Hip

Endoscopy-assisted Periacetabular Osteotomy

A Preliminary Cadaveric Study

Authors: Muharrem Inan, MD, Alper Gokce, MD, Fulya Ustunkan, BS

Published in: Clinical Orthopaedics and Related Research® | Issue 4/2008

Abstract

Periacetabular osteotomy has been recommended for reconstructing symptomatic dysplastic hips in adolescents and young adults, but requires substantial incisions and exposure. To minimize large incisions, we asked whether periacetabular osteotomy could be performed with a mini-incision under direct endoscopic control. We used five fresh-frozen cadaver pelves and developed curved guides and osteotomes for the osteotomy. We were able to perform a periacetabular osteotomy under endoscopic and image intensifier control and to fix the osteotomy with two cannulated screws. We identified no damage to vital structures or intraarticular fracture in any of the five cadavers we subsequently dissected. We believe periacetabular osteotomy may be performed with a mini-incision under direct endoscopic control. Our preliminary observations suggest the approach might be explored in limited prospective clinical trials by experienced individuals.

Burmeister H, Kaiser B, Siebenrock KA, Ganz R. Incisional hernia after periacetabular osteotomy. Clin Orthop Relat Res. 2004;425:177–179.PubMedCrossRef

Clohisy JC, Barrett SE, Gordon JE, Delgado ED, Schoenecker PL. Periacetabular osteotomy in the treatment of severe acetabular dysplasia. Surgical technique. J Bone Joint Surg Am. 2006;88(Suppl 1):65–83.PubMedCrossRef

Davey JP, Santore RF. Complications of periacetabular osteotomy. Clin Orthop Relat Res. 1999;363:33–37.PubMedCrossRef

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;232:26–36.PubMed

Gillett CA. Bernese periacetabular osteotomy for hip dysplasia in young adults. AORN J. 2002;75:737–742.PubMedCrossRef

Hsieh PH, Chang YH, Shih CH. Image-guided periacetabular osteotomy: computer-assisted navigation compared with the conventional technique: a randomized study of 36 patients followed for 2 years. Acta Orthop. 2006;77:591–597.PubMedCrossRef

Hussell JG, Rodriguez JA, Ganz R. Technical complications of the Bernese periacetabular osteotomy. Clin Orthop Relat Res. 1999;363:81–92.PubMed

Kambe T, Naito M, Asayama I, Koga K, Fujisawa M, Yamaguchi T, Yatsunami M. Vascular anatomy for rotational acetabular osteotomy: cadaveric study. J Orthop Sci. 2003;8:323–328.PubMedCrossRef

Katz DA, Kim YJ, Millis MB. Periacetabular osteotomy in patients with Down’s syndrome. J Bone Joint Surg Br. 2005;87:544–547.PubMedCrossRef

10.

Ko JY, Wang CJ, Lin CF, Shih CH. Periacetabular osteotomy through a modified Ollier transtrochanteric approach for treatment of painful dysplastic hips. J Bone Joint Surg Am. 2002;84:1594–1604.PubMed

11.

Koyama T, Sugano N, Nishii T, Miki H, Sato Y, Yoshikawa H, Tamura S. Computer-assisted spherical osteotomy with a curved-bladed Tuke Saw. Comput Aided Surg. 2006;11:202–208.PubMedCrossRef

12.

Kralj M, Mavcic B, Antolic V, Iglic A, Kralj-Iglic V. The Bernese periacetabular osteotomy: clinical, radiographic and mechanical 7–15-year follow-up of 26 hips. Acta Orthop. 2005;76:833–840.PubMedCrossRef

13.

Murphy SB, Millis MB, Hall JE. Surgical correction of acetabular dysplasia in the adult. A Boston experience. Clin Orthop Relat Res. 1999;363:38–44.PubMedCrossRef

14.

Ninomiya S, Tagawa H. Rotational acetabular osteotomy for the dysplastic hip. J Bone Joint Surg Am. 1984;66:430–436.PubMed

15.

Peters CL, Erickson JA, Hines JL. Early results of the Bernese periacetabular osteotomy: the learning curve at an academic medical center. J Bone Joint Surg Am. 2006;88:1920–1926.PubMedCrossRef

16.

Rubel IF, Seligson D, Mudd L, Willinghurst C. Endoscopy for anterior pelvis fixation. J Orthop Trauma. 2002;16:507–514.PubMedCrossRef

17.

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(Suppl 1):73–80.PubMed

18.

Siebenrock KA, Leunig M, Ganz R. Periacetabular osteotomy: the Bernese experience. Instr Course Lect. 2001;50:239–245.PubMed

19.

Siebenrock KA, Scholl E, Lottenbach M, Ganz R. Bernese periacetabular osteotomy. Clin Orthop Relat Res. 1999;363:9–20.PubMedCrossRef

20.

Takatori Y. Bernese periacetabular osteotomy. Clin Orthop Relat Res. 2001;387:245–246.PubMedCrossRef

21.

Trousdale RT, Cabanela ME. Lessons learned after more than 250 periacetabular osteotomies. Acta Orthop Scand. 2003;74:119–126.PubMedCrossRef

22.

Wall EJ, Kolata R, Roy DR, Mehlman CT, Crawford AH. Endoscopic pelvic osteotomy for the treatment of hip dysplasia. J Am Acad Orthop Surg. 2001;9:150–156.PubMed

23.

Zobrist R, Messmer P, Levin LS, Regazzoni P. Endoscopic-assisted, minimally invasive anterior pelvic ring stabilization: a new technique and case report. J Orthop Trauma. 2002;16:515–519.PubMedCrossRef

Title: Endoscopy-assisted Periacetabular Osteotomy
A Preliminary Cadaveric Study
Authors: Muharrem Inan, MD
Alper Gokce, MD
Fulya Ustunkan, BS
Publication date: 01-04-2008
Publisher: Springer-Verlag
Published in: Clinical Orthopaedics and Related Research® / Issue 4/2008
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-008-0172-0

At a glance: The STEP trials

Springer Medicine

Endoscopy-assisted Periacetabular Osteotomy

A Preliminary Cadaveric Study

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 4/2008

Computer Navigation Did Not Improve Alignment in a Lower-volume Total Knee Practice

Utilization of Elective Hip and Knee Arthroplasty by Age and Payer

Weightbearing Anteroposterior Pelvic Radiographs are Recommended in DDH Assessment

Self-assembled Monolayer Films of Phosphonates for Bonding RGD to Titanium

50 Years Ago in CORR

Letter to the Editor