[Modified PemberSal osteotomy technique with lyophilized human allograft].

[Modified PemberSal osteotomy technique with lyophilized human allograft].
Oper Orthop Traumatol. 2016 Sep 14;
Authors: Druschel C, Heck K, Kraft C, Placzek R
Abstract
OBJECTIVE: PemberSal osteotomy to improve femoral head coverage by rotating the acetabular roof ventrally and laterally.
INDICATIONS: Insufficient coverage of the femoral head, and can be combined with other surgical procedures such as femoral intertrochanteric varus-derotation osteotomy and open reduction for developmental dysplasia and dislocation of the hip or to improve sphericity and containment in Legg-Calvé-Perthes disease. This specific acetabuloplasty can only be performed in patients with an open epiphyseal growth-plate.
CONTRAINDICATIONS: Increased bleeding tendency (e.g., inherited or iatrogenic); elevated anesthetic risk such as in cerebral palsy, arthrogryposis multiplex congenital, trisomies; syndromes require explicit interdisciplinary clarification to reduce perioperative risks; infections as in other elective surgeries; diseases/deformities making postoperative spica casting impossible or impractical (e.g., deformities of spinal cord or urogenital system, hernias requiring treatment); closed epiphyseal plate requires complex three-dimensional corrections of the acetabular roof (e.g., triple/periacetabular osteotomy).
SURGICAL TECHNIQUE: Osteotomy from the iliac bone to the posterior ilioischial arm of the epiphyseal growth-pla...

Source: Operative Orthopadie und Traumatologie - September 13, 2016 Category: Orthopaedics Authors: Druschel C, Heck K, Kraft C, Placzek R Tags: Oper Orthop Traumatol Source Type: research