The Journal of Bone and Joint Surgery 83:449 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.
Instructional Course Lecture |
Periacetabular Osteotomy: the Bernese Experience
Klaus A Siebenrock, MD,
Michael Leunig, MD and
Reinhold Ganz, MD
An Instructional Course Lecture, American Academy of Orthopaedic
Surgeons
Klaus A. Siebenrock, MD
Michael Leunig, MD
Reinhold Ganz, MD
Department of Orthopaedic Surgery, University of Bern, Inselspital,
CH-3010 Bern, Switzerland. E-mail address for K.A. Siebenrock: klaus.siebenrock@insel.ch.
E-mail address for M. Leunig: michael.leunig@insel.ch.
E-mail address for R. Ganz: reinhold.ganz@insel.ch
Printed with permission of the American Academy of Orthopaedic
Surgeons. This article, as well as other lectures presented at the
Academy’s Annual Meeting, will be available in March 2001
in Instructional Course Lectures, Volume 50. The
complete volume can be ordered online at www.aaos.org, or by calling
800-626-6726 (8 a.m.-5 p.m., Central time).
No benefits in any form have been received or will be received from
a commercial party related directly or indirectly to the subject
of this article. No funds were received in support of this study.
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Introduction
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The first periacetabular osteotomy was performed in April 1984.
More than 700 osteotomies have been performed since then at our
institute. Increasing experience over the years has resulted in
the addition of several new aspects with respect to patient assessment,
indications for surgery, surgical exposure, and evaluation of acetabular reorientation.
Some of the issues have been addressed in previous reports and will
now be correlated with our recently published results of the first
seventy-five periacetabular osteotomies1,2.
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Materials and Methods
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The first seventy-five periacetabular osteotomies were
performed in sixty-three patients between April 1984 and December
1987. The male:female ratio was 1:3.4, and the average age was 29.3 years
(range, thirteen to fifty-six years). An underlying neurological
disease was found in six hip joints, a posttraumatic acetabular deficiency
was found in two, and a proximal femoral focal dysplasia was seen
in another two. Twenty-three hip joints (31 percent) had
undergone previous surgery because of . . . [Full Text of this Article]
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