Periacetabular osteotomy pao for acetabular dysplasia. Mean 20 year follow up of bernise periacetabular osteotomy by drs. Safe fixation with two acetabular screws after ganz. Physical therapy guidelines periacetabular osteotomy. It is then repositioned to better cover the femoral head and secured with long screws and potentially bone grafting material fig 5 and 6. Bernese osteotomy or ganz procedure or periacetabular. Before the osteotomy procedure, anteroposterior pelvic radiographs. A commonly used osteotomy to correct dysplasia is the ganz. Evolution of technique and indications for the bernese periacetabular osteotomy. Optimization of the position of the acetabulum in a ganz. Early experience and results with the periacetabular osteotomy. A new periacetabular osteotomy for the treatment of hip dysplasias technique and preliminary results reinhold ganz, m. Bernese periacetabular osteotomy pao was introduced by ganz as a novel surgical technique for hip dysplasia with a congruent hip to reorient the acetabulum in skeletally mature patients. What can i expect in recovery from periacetabular osteotomy.
Physical therapy guidelines periacetabular osteotomy dr. The goal is to alleviate the patients pain, restore function, and. The bernese periacetabular osteotomy pao was initially introduced by ganz and colleagues as an acetabular reorientation technique for the treatment of symptomatic, acetabular dysplasia. Hip dysplasia periacetabular osteotomy surgery youtube. Pao surgery is most commonly used to treat acetabular dysplasia or a shallow hip socket human hip dysplasia. The bernese periacetabular osteotomy pao is a powerful technique in the treatment of hip dysplasia and related conditions of the hip. Periacetabular osteotomy is performed on an inpatient basis with a 23 day stay in in the hospital. Changes in loadbearing area after ganz periacetabular osteotomy evaluated by multislice ct scanning and stereology. Presentation by timo ecker switzerland entitled technique of bernese periacetabular osteotomy during the ehsefort advanced.
The technique described by cole et al was utilized to provide effective acetabular surgery. Bernese periacetabular osteotomy for hip dysplasia. You will be given oral pain medicines to manage th e. Bernese osteotomy or ganz procedure or periacetabular osteotomy pao periacetabular osteotomy is a surgery used for hip dysplasia treatment. Before this technique was developed, osteotomies violated the. Physical therapy guidelines periacetabular osteotomy are designed to assist during the rehabilitation process. In the anterior approach, as part of the original technique for the anterior aspect. Patients will be seen preoperatively for a physical therapy evaluation to include strength and range of motion. To learn more about periacetabular osteotomies, please click here to access our patient guide to periacetabular osteotomy. Ganz periacetabular osteotomy has a number of advantages over other pelvic. This technique is performed through a single anterior. Pdf with ganz periacetabular osteotomy, the osteotomized acetabular fragment is reoriented in an adducted, extended, and rotated position.
Periacetabular osteotomy pao is a surgical procedure to correct acetabular orientation in developmental dysplasia of the hip ddh. The bernese periacetabular osteotomy pao was developed by professor reinhold ganz and his colleagues in switzerland. About periacetabular osteotomy periacetabular osteotomy pao is a surgical treatment for acetabular dysplasia that preserves and enhances the patients own hip joint rather than replacing it with an artificial part. Evolution of technique and indications for the bernese. At panorama, we offer osteotomies of the femur, pelvis, or acetabulum to correct problems with the hip joint if necessary. After periacetabular osteotomy, you will be on crutches for four weeks, placing 20 pounds of weight down on your operative leg.
Safety of modified stoppa approach for ganz periacetabular. Periacetabular hip osteotomy for residual dysplasia treatment scielo. Anatomy of the medial femoral circumflex artery and its surgical implications. Over the past decade, this versatile osteotomy has been adopted as one of the preferred techniques for acetabular deformity correction. A new periacetabular osteotomy for the treatment of hip dysplasias. Lessons learned after more than 250 periacetabular osteotomies.
Technique of bernese periacetabular osteotomy by t. Combined periacetabular and femoral osteotomies for severe. The technique through a modified smithpetersen approach offers advantages. A pao is an open procedure where the socket is separated from the rest of the pelvis by making three cuts in the pelvis. Pdf safe fixation with two acetabular screws after ganz. The bernese periacetabular osteotomy pao is a reorientation procedure of the dysplastic acetabulum.
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