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Scientific Articles   |    
Pemberton Osteotomy for Acetabular Dysplasia
Shier-Chieg Huang, MD, PhD1; Ting-Ming Wang, MD, PhD1; Kuan-Wen Wu, MD2; Chien-feng Fang, MD1; Ken N. Kuo, MD3
1 Department of Orthopaedic Surgery, National Taiwan University Hospital, No. 7, Chung Shan South Road, Taipei 100, Taipei, Taiwan
2 Department of Orthopaedic Surgery, National Taiwan University Hospital, Yun-Lin Branch, Number 579, Section 2, Yunlin Road, Douliou City, Yunlin County 640, Taiwan
3 College of Medicine, Taipei Medical University, 250 Wu-Hsing Street, Taipei 110, Taiwan. E-mail address: kennank@aol.com
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Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

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Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
JBJS Essential Surgical Techniques, 2011 Jun 01;94(1):1-1. doi: 10.2106/JBJS.ST.K.00003
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Extract

Overview
Introduction

We have performed open reduction with Pemberton osteotomy, as our primary treatment method for developmental dysplasia of the hip, in more than 550 patients at our institution since 1993. Read in Full...

Step 1: Exposure

With the patient supine, make an anterior iliofemoral incision that is not directly on the iliac crest, dissect the subcutaneous tissue in the line of the incision, expose the iliac crest, and divide the cartilage at the iliac crest. Read in Full...

Step 2: Perform Iliopsoas Tenotomy

Identify the rectus femoris tendon, release the iliopsoas muscle, and identify the acetabulum-hip capsule junction. Read in Full...

Step 3: Perform Open Reduction and Osteotomy

Perform an open reduction, check hip stability, make medial and lateral cut lines, and complete the osteotomy. Read in Full...

Step 4: Insert Iliac Bone Graft

Harvest the graft, position the reduced hip joint, insert the bone graft, repair the capsule, and close the wound. Read in Full...

Step 5: Postoperative Management

Apply a hip spica cast after skin closure. Read in Full...

Results & Preop./Postop. Images

In our clinical and radiographic review of forty-nine patients followed for more than ten years after treatment of developmental dysplasia of the hip with a unilateral Pemberton osteotomy, there were no redislocations and no patient required additional surgery for residual hip dysplasia after the original Pemberton osteotomy. Read in Full...

What to Watch For

Indications

Contraindications

Pitfalls & Challenges

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    References

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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