Pemberton Osteotomy for Acetabular Dysplasia by Shier-Chieg Huang, Ting-Ming Wang, Kuan-Wen Wu, Chien-feng Fang, and Ken N. Kuo JBJS Essent Surg Tech Volume.

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Fig. 3. Anteroposterior radiographs of the right hip joint in a 47-year-old male. (A) The preoperative radiograph shows mild acetabular dysplasia with.

Fig. 2. A 28-year-old woman had osteonecrosis in the left femoral head

Fig. 4. Anteroposterior radiographs of the left hip joint in a 47-year-old female. (A) The preoperative radiograph shows moderate joint space narrowing.

Presentation transcript:

Pemberton Osteotomy for Acetabular Dysplasia by Shier-Chieg Huang, Ting-Ming Wang, Kuan-Wen Wu, Chien-feng Fang, and Ken N. Kuo JBJS Essent Surg Tech Volume 1(1):e2 June 15, 2011 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

An anterior iliofemoral incision is used, caudal to the anterior superior iliac spine (ink outline to the right of the incision line mark) and the iliac crest. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

The iliac crest cartilaginous apophysis is split sharply, with the thumb and the index finger used to gauge the thickness and direction of the iliac wing. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

The tendon of the straight head of the rectus femoris muscle is isolated and is divided just caudal to the anterior inferior iliac spine (AIIS). Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

The iliopsoas tendon is identified at the pelvic rim, and the tendinous portion is divided, leaving the muscular portion intact. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Capsular incision outline with the stem of the T parallel with the femoral neck. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Medial cut line: outline on a skeletal model. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Medial cut line: outline on a reconstructed three-dimensional computed tomography (CT) scan. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Medial cut line in the surgical field. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Lateral cut line: outline on a skeletal model. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Lateral cut line: outline on a reconstructed three-dimensional computed tomography (CT) scan. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Lateral cut line in the surgical field. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Iliac osteotomy with use of a large curved osteotome. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Surgical field in which a bone graft is maintaining the opening of the osteotomy site. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Postoperative reconstructed three-dimensional computed tomography (CT) scan from the anterior view showing the bone graft in place. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Postoperative reconstructed three-dimensional computed tomography (CT) scan from the posterior view showing the bone graft in place. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior pelvic radiograph of a twenty-month-old girl with developmental dysplasia of the left hip. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Immediate postoperative anteroposterior radiograph showing the reduced hip after the Pemberton osteotomy. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.

When the patient was fifteen years old, the left hip had an excellent result. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.