Step-cut osteotomy of the anterior superior iliac spine for increased visualisation in the Levine approach for Bernese periacetabular osteotomy surgery.

IF 1.3 4区 医学 Q3 ORTHOPEDICS
HIP International Pub Date : 2024-03-01 Epub Date: 2023-11-01 DOI:10.1177/11207000231209665
Shelby R Smith, E Bailey Terhune, Joel C Williams, Keith A Mayo
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引用次数: 0

Abstract

Background: Hip dysplasia can lead to pain and dysfunction in the young adult. Acetabular undercoverage leads to abnormal joint loading and results in joint degeneration, accelerating need for arthroplasty in this patient population. Conceptually, treatment focuses on increasing acetabular coverage in the form of periacetabular osteotomy. The procedure can be performed through the iliofemoral approach, and performing an anterior superior iliac spine (ASIS) osteotomy can enhance the visualisation in this approach. Several techniques have been described for ASIS osteotomy.

Aim: The purpose this study was to report on step-cut technique for ASIS osteotomy during the Bernese periacetabular osteotomy procedure to enhance visualisation when utilising the iliofemoral approach.

Surgical technique: This step-cut technique enhances stability at the osteotomy site, and minimises soft tissue dissection to reduce pain and assists with maintaining a stable fixation construct postoperatively.

Results: There were no nonunions and minimal morbidity to the lateral femoral cutaneous nerve injury in cohort of 86 patients while utilising this technique.

Conclusions: We recommend using this step-cut ostetomy of the ASIS during Bernese periactetabular osteotomy for benefit of increasing exposure while maintaining a low complication profile.

对髂前上棘进行阶梯式截骨,以提高levine入路在bernese髋臼周围截骨手术中的可视性。
背景:髋关节发育不良可导致年轻人的疼痛和功能障碍。髋臼欠平均会导致关节负荷异常,并导致关节退化,加速了该患者群体对关节成形术的需求。从概念上讲,治疗的重点是以髋臼周围截骨的形式增加髋臼覆盖率。该手术可以通过髂股入路进行,进行髂前上棘(ASIS)截骨可以增强该入路的视觉效果。已经描述了ASIS截骨的几种技术。目的:本研究的目的是报道在Bernese髋臼周围截骨手术中ASIS截骨的阶梯切割技术,以增强使用髂股入路时的视觉效果。手术技术:这种阶梯切割技术提高了截骨部位的稳定性,最大限度地减少了软组织剥离,以减轻疼痛,并有助于术后保持稳定的固定结构。结果:在使用该技术的86名患者中,股外侧皮神经损伤没有发生不愈合,发病率最低。结论:我们建议在Bernese截骨术中使用ASIS的阶梯式截骨术,以增加暴露量,同时保持低并发症。
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来源期刊
HIP International
HIP International 医学-整形外科
CiteScore
4.20
自引率
0.00%
发文量
70
审稿时长
2 months
期刊介绍: HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology
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