The Journal of Bone and Joint Surgery, Vol 75, Issue 5 643-649, Copyright © 1993 by Journal of Bone and Joint Surgery, Inc
Pemberton osteotomy for residual acetabular dysplasia in children who have congenital dislocation of the hip
T Faciszewski, GN Kiefer and SS Coleman
Shriners Hospital for Crippled Children, Intermountain Unit, Salt Lake City, Utah.
We reviewed the results for fifty-two hips in forty-two patients who had
had a Pemberton pericapsular osteotomy between 1968 and 1984 as treatment
for residual acetabular dysplasia of the hip. The average age of the
patients at the time of the osteotomy was four years. The average duration
of follow-up was ten years. At the time of the most recent follow-up,
forty-two of the fifty-two hips had a rating of Severin class IA, an
essentially normally developed hip. The results of the Pemberton osteotomy
were unpredictable if there had been necrosis of the femoral head (without
infection) preoperatively. We believe that the Pemberton osteotomy is a
safe, effective procedure for the treatment of acetabular dysplasia in
patients who have congenital dislocation of the hip.