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The pelvic support osteotomy: indications and preoperative planning.

Pafilas D, Nayagam S - Strategies Trauma Limb Reconstr (2008)

Bottom Line: The pelvic support osteotomy is a double level femoral osteotomy with the objective of eliminating a Trendelenburg and short limb gait in young patients with severe hip joint destruction as a consequence of neonatal septic arthritis.We present an analysis of the preoperative assessment that will assist the surgeon to plan out the procedure.(b) Where should the second osteotomy be performed and what is the magnitude of varus and derotation desired at this level?

View Article: PubMed Central - PubMed

Affiliation: Royal Liverpool University and Royal Liverpool Children's Hospitals NHS Trusts, Eaton Road, Liverpool, L12 2AP, UK.

ABSTRACT
The pelvic support osteotomy is a double level femoral osteotomy with the objective of eliminating a Trendelenburg and short limb gait in young patients with severe hip joint destruction as a consequence of neonatal septic arthritis. The osteotomy has seen several changes and a brief historical overview is provided to set the evolution of the modifications of the procedure in context. We present an analysis of the preoperative assessment that will assist the surgeon to plan out the procedure. Specifically, we set out to answer the following questions: (a) Where should the first osteotomy be performed and what is the magnitude of valgus and extension correction desired at this level? (b) Where should the second osteotomy be performed and what is the magnitude of varus and derotation desired at this level?

No MeSH data available.


Related in: MedlinePlus

Three radiographs needed for the assessment and planning for a pelvic support osteotomy: a a standing full length view of both lower limbs; b AP view of the pelvis with leg in full abduction to reveal an adduction contracture if present; c AP view of the pelvis with leg in full adduction
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Fig3: Three radiographs needed for the assessment and planning for a pelvic support osteotomy: a a standing full length view of both lower limbs; b AP view of the pelvis with leg in full abduction to reveal an adduction contracture if present; c AP view of the pelvis with leg in full adduction

Mentions: This requires three radiographs: an anteroposterior view of both lower limbs with the patient standing (preferably a parallel beam scanogram [18]), an anteroposterior view of the pelvis with the affected hip in maximum abduction and subsequently fully adducted (Fig. 3).Fig. 3


The pelvic support osteotomy: indications and preoperative planning.

Pafilas D, Nayagam S - Strategies Trauma Limb Reconstr (2008)

Three radiographs needed for the assessment and planning for a pelvic support osteotomy: a a standing full length view of both lower limbs; b AP view of the pelvis with leg in full abduction to reveal an adduction contracture if present; c AP view of the pelvis with leg in full adduction
© Copyright Policy
Related In: Results  -  Collection

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getmorefigures.php?uid=PMC2553427&req=5

Fig3: Three radiographs needed for the assessment and planning for a pelvic support osteotomy: a a standing full length view of both lower limbs; b AP view of the pelvis with leg in full abduction to reveal an adduction contracture if present; c AP view of the pelvis with leg in full adduction
Mentions: This requires three radiographs: an anteroposterior view of both lower limbs with the patient standing (preferably a parallel beam scanogram [18]), an anteroposterior view of the pelvis with the affected hip in maximum abduction and subsequently fully adducted (Fig. 3).Fig. 3

Bottom Line: The pelvic support osteotomy is a double level femoral osteotomy with the objective of eliminating a Trendelenburg and short limb gait in young patients with severe hip joint destruction as a consequence of neonatal septic arthritis.We present an analysis of the preoperative assessment that will assist the surgeon to plan out the procedure.(b) Where should the second osteotomy be performed and what is the magnitude of varus and derotation desired at this level?

View Article: PubMed Central - PubMed

Affiliation: Royal Liverpool University and Royal Liverpool Children's Hospitals NHS Trusts, Eaton Road, Liverpool, L12 2AP, UK.

ABSTRACT
The pelvic support osteotomy is a double level femoral osteotomy with the objective of eliminating a Trendelenburg and short limb gait in young patients with severe hip joint destruction as a consequence of neonatal septic arthritis. The osteotomy has seen several changes and a brief historical overview is provided to set the evolution of the modifications of the procedure in context. We present an analysis of the preoperative assessment that will assist the surgeon to plan out the procedure. Specifically, we set out to answer the following questions: (a) Where should the first osteotomy be performed and what is the magnitude of valgus and extension correction desired at this level? (b) Where should the second osteotomy be performed and what is the magnitude of varus and derotation desired at this level?

No MeSH data available.


Related in: MedlinePlus