Periacetabular osteotomy in the management of hip dysplasia assisted by fluoroscopy: early clinical and radiological results

Authors

  • Juan Manuel Nossa Instructor in reconstructive surgery and hip arthroscopy. Department of Orthopedics and Traumatology, Clinic for Reconstructive Surgery and Hip Arthroscopy, Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia.
  • Carlos Alberto Morales Orthopedics and Traumatology. Department of Orthopedics and Traumatology, Clinic for Reconstructive Surgery and Hip Arthroscopy, Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia.
  • Guillermo Rueda Professor of reconstructive surgery and hip arthroscopy. Department of Orthopedics and Traumatology, Clinic for reconstructive surgery and hip arthroscopy, Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia.
  • Hugo Rodríguez Instructor in reconstructive surgery and hip arthroscopy. Department of Orthopedics and Traumatology, Clinic for Reconstructive Surgery and Hip Arthroscopy, Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia.

Keywords:

Hip Dislocation Congenital, Osteotomy, Learning Curve

Abstract

Introduction: Periacetabular osteotomy is a well accepted surgical procedure for the management of hip dysplasia sequelae in young adult people. The procedure allows the surgeon to reposition the acetabulum in order to cover the femoral head by itself. For the surgeon it is being considered to be a technically demanding procedure, therefore many technical improvements to the original technique described by Ganz have been introduced.

Methods: To describe radiological and functional outcomes in patients who underwent a periacetabular osteotomy under fluoroscopic guidance, a prospective cohort was performed from January 2008 to September 2011. Minimal functional follow-up for each patient was 6 months as well as 2 months for roentgenologic follow-up.

Results: 32 hips were included in the cohort. Mean CB post surgical angle was 34o , 3.2 % of the patients presented articular fractures, 3.2 % of the patients presented intra-articular screws. Mean WOMAC scale score was 38 before surgery with an improvement to a score of 11 after postoperative follow-up.

Discussion: Bernesse osteotomy improves functional and radiological conditions of the patients who underwent to this surgical procedure in order to treat dysplastic hip sequelae. Even though it is a challenging procedure for the surgeon, it is reproducible, specially under controlled conditions such as fluoroscopic monitoring.

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References

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Published

2012-06-01

How to Cite

1.
Nossa JM, Morales CA, Rueda G, Rodríguez H. Periacetabular osteotomy in the management of hip dysplasia assisted by fluoroscopy: early clinical and radiological results. Rev. Colomb. Ortop. Traumatol. [Internet]. 2012 Jun. 1 [cited 2026 Mar. 15];26(2):103-8. Available from: https://revistasccotorg.biteca.online/index.php/rccot/article/view/613

Issue

Vol. 26 No. 2 (2012)

Section

Original research

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Copyright (c) 2025 Sociedad Colombiana de Cirugía Ortopédica y Traumatología.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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