The Journal of Bone and Joint Surgery (American). 2009;91:2469-2476.
doi:10.2106/JBJS.H.00066
© 2009 The Journal of Bone and Joint Surgery, Inc.
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Staged Surgical Dislocation and Redirectional Periacetabular Osteotomy

A Report of Five Cases

Lucas A. Anderson, PA-C1, Carmen D. Crofoot, MD1, Jill A. Erickson, PA-C1 and Christopher L. Peters, MD1

1 Department of Orthopaedic Surgery, University of Utah School of Medicine, 590 Wakara Way, Salt Lake City, UT 84108. E-mail address for C.L. Peters: chris.peters@hsc.utah.edu

Investigation performed at the University of Utah, Salt Lake City, Utah

The first 150 words of the full text of this article appear below.


   Introduction
 
A wide spectrum of morphologic abnormalities of both the acetabulum and the proximal part of the femur can lead to hip pain in the young adult1-3. These developmental, or occasionally acquired, abnormalities may present clinically with symptoms and signs of both hip instability and femoroacetabular impingement1,4,5. Also, it is now recognized that a classically dysplastic or unstable hip may begin to manifest impingement as a result of an iatrogenic cause. For example, periacetabular osteotomy6 performed to improve coverage of the femoral head can lead to relative acetabular overcoverage and resultant femoroacetabular impingement2,7. Alternatively, a hip that is being treated for impingement can become unstable as a result of the performance of an acetabular rim resection and a femoral head osteochondroplasty8,9. Finally, hips that have a combination of impingement and instability may require acetabular reorientation to treat the underlying intra-articular pathology10.

In our experience, many patients . . . [Full Text of this Article]


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