Dome osteotomy of the pelvis using a modified trochanteric osteotomy for acetabular dysplasia

Hu, Qin; Ul-Haq, Rehan; Park, Kyung Soon; Yoon, Taek Rim; Lee, Keun Bae

doi:10.1007/s00264-011-1250-6

Cited by 3 publications

(3 citation statements)

References 25 publications

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“…17,18,24 True spherical osteotomies in human surgery show positive outcomes in the treatment of limb deformities 25 and dysplastic conditions. 26 Application of TSO in canine radial dome osteotomy combined with external coaptation achieved good-to-excellent postoperative function in 95% of dogs, and no visible long-term lameness in 73%. 27 True spherical osteotomies have demonstrated efficacy in intraarticular or juxta-articular CORAs due to the ability to offset the blade from the CORA.…”

Section: Discussionmentioning

confidence: 93%

“…27 True spherical osteotomies have demonstrated efficacy in intraarticular or juxta-articular CORAs due to the ability to offset the blade from the CORA. 26 In this case, true spherical osteotomy was selected to avoid limb shortening and minimize the risk of transcortical fractures following previously described guidelines. 28 Jaeger and colleagues 29 reported the use of other modalities for correction of distal tibial valgus deformities in non-chondrodystrophic breeds, including medical management, segmental fibular ostectomy, closing wedge ostectomy, planar osteotomy and hinged circular external fixation and true spherical osteotomy with hinged circular fixation.…”

Section: Discussionmentioning

confidence: 99%

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Correction of Biapical Tibial Deformity by True Spherical Osteotomy, Modified Circular External Skeletal Fixation and Distraction Osteogenesis

Walmsley¹,

Fitzpatrick²,

Black³

2019

VCOT Open

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Objectives The aim of this study was to describe a case of biapical tibial deformity as a result of premature distal physeal closure corrected by true spherical osteotomy, circular external skeletal fixation and distraction osteogenesis. Methods A 6-month-old male Labrador Retriever was presented for the evaluation and treatment of angular limb deformity of the left pelvic limb, with radiography and computed tomography revealing a multiplanar, biapical, compensatory tibial growth deformity, with marked distal tibial recurvatum and varus. A true spherical osteotomy was performed at the distal tibial centre of rotation of angulation (CORA), allowing for correction of the deformity in three planes, with a transverse osteotomy performed at the most proximal CORA. A circular external skeletal fixator was applied and distraction osteogenesis performed at the transverse osteotomy. Latency, distraction osteogenesis, and consolidation were performed over a 113-day period. Results At frame removal, tibial length discrepancy improved from 16.8% to 0.6% and frontal plane varus angulation improvement from 20° to 5°, when compared with the contralateral limb. Long-term evaluation revealed a satisfactory clinical and cosmetic outcome, judged by the clinician and owners, with force plate analysed symmetry index of the pelvic limb within reported normal limits. Clinical significance To our knowledge this is the first case report illustrating the value of true spherical osteotomy for the treatment of an angular limb deformity when performed in combination with distraction osteogenesis in a canine pelvic limb.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Correction of Biapical Tibial Deformity by True Spherical Osteotomy, Modified Circular External Skeletal Fixation and Distraction Osteogenesis

Walmsley¹,

Fitzpatrick²,

Black³

2019

VCOT Open

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“…Details of the procedure have been reported previously. 9 Briefly, patient was placed in lateral position. A longitudinal skin incision was made centered over the greater trochanter.…”

Section: Operative Techniquementioning

confidence: 99%

Treatment outcome of dome osteotomy of the pelvis combined with trochanteric advancement for sequelae of Perthes' disease

Santoso

Ingale

Choi

et al. 2018

Acta Orthopaedica et Traumatologica Turcica

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ObjectiveDisparity in size between femoral head and acetabulum could promote premature degeneration of the hip joint. The purpose of this study was to report the results of Kawamura's dome osteotomy for acetabular dysplasia due to sequelae of Perthes' disease.Patients and MethodsFourteen patients (14 hips) operated between 1999 and 2012 were retrospectively reviewed. There were 9 males and 5 females with a mean age of 29 years (range, 15–54 years). Functional and radiological results were reviewed at mean follow-up of 9 years (range, 4–12 years).ResultsPain relief was obtained in 13 of 14 (92.8%) patients postoperatively. Good to excellent functional outcome was obtained in 10 of 14 (71.4%) patients. Mean Harris hip score was improved from 63 to 84 (p < 0.05) at the final follow-up. Improvement of limping gait was observed in 10 of 14 (71.4%) patients. Center edge angle improved from mean 24° (11–36°) preoperatively to mean 35° (27–46°) postoperatively (p < 0.05), acetabular angle improved from mean 43° (36–49°) preoperatively to mean 37° (32–44°) postoperatively (p < 0.05), acetabular head index improved from mean 69% (50–83%) preoperatively to mean 85% (73–100%) postoperatively (p < 0.05). Progression of arthrosis stage occurred in 3 of 14 (21%) patients. None of the hip with preoperative Stulberg III, 2 of 9 hips with Stulberg IV and 2 of 2 hips with Stulberg V needed conversion to total hip arthroplasty during the follow-up.ConclusionDome osteotomy of the pelvis combined with trochanteric advancement could give a reasonable treatment outcome for acetabular dysplasia due to Perthes' disease at mid to long-term follow-up. Advanced stage of arthrosis, preoperative Stulberg V and no improvement of limping gait after the surgery possibly associated with poor outcome.Level of evidenceLevel IV, therapeutic study.

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Current Uses of the Transtrochanteric Approach to the Hip

Xin

Bhanot²,

Tsvetkov³

et al. 2018

JBJS Rev

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Dome osteotomy of the pelvis using a modified trochanteric osteotomy for acetabular dysplasia

Cited by 3 publications

References 25 publications

Correction of Biapical Tibial Deformity by True Spherical Osteotomy, Modified Circular External Skeletal Fixation and Distraction Osteogenesis

Correction of Biapical Tibial Deformity by True Spherical Osteotomy, Modified Circular External Skeletal Fixation and Distraction Osteogenesis

Treatment outcome of dome osteotomy of the pelvis combined with trochanteric advancement for sequelae of Perthes' disease

Current Uses of the Transtrochanteric Approach to the Hip

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