Comparison of three approaches of Bernese periacetabular osteotomy

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Comparison of three approaches of Bernese periacetabular osteotomy

BACKGROUND Developmental dysplasia of the hip is a common disease and treated with various surgical approaches. Improved ilioinguinal (I-I) approach, two-incision Smith-Peterson (TSP) approach, and modified Smith-Peterson (MSP) approach are three main approaches; however, they are rarely compared. The present study compared the operative time, blood loss, intraoperative and postoperative alloge...

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Evolution of technique and indications for the Bernese periacetabular osteotomy.

Acetabular dysplasia is among the most frequent causes of secondary osteoarthritis (OA) of the hip. While hip arthrolasty is a valid option in elderly patients, young and active patients are likely to outlive their implants and therefore may require a different approach. During the last 20 years, the emphasis of these osteotomies shifted from the femoral to the acetabular side, with the Bernese...

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A dual anteroposterior approach to the Bernese periacetabular osteotomy.

When the Bernese periacetabular osteotomy is performed through an anterior approach, the ischial and retroacetabular osteotomies and manual fracture of the incompletely osteotomized ischium are conducted with an incomplete view resulting in increased risk and morbidity. We have assessed the dual anteroposterior approach which appears to address this deficiency. We compared the results of the Be...

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Factors That Predict Blood Loss After Bernese Periacetabular Osteotomy.

Although strategies to reduce bleeding and avoid allogeneic transfusion have been described, there is controversy about the factors associated with blood loss after Bernese periacetabular osteotomy. This study was conducted to determine risk factors for postoperative blood loss. After institutional review board approval was obtained, a retrospective review was conducted of 41 young patients who...

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A Comparison of the Fixation Stability of the Osteotomy Fragment of the Bernese Periacetabular Osteotomy of Ganz with Tonnis' Modification of Steel's Triple Innominate Osteotomy

Introduction Periacetabular osteotomies are performed for improvement of femoral head coverage in a variety of clinical scenarios. A number of osteotomies are in clinical use today, and they differ in surgical technique, amount of coverage attainable, and biomechanical strength. The use of the triple innominate osteotomy in North America was popularized by Steel. In Tonnis' modification of the ...

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ژورنال

عنوان ژورنال: Therapeutics and Clinical Risk Management

سال: 2016

ISSN: 1178-203X

DOI: 10.2147/tcrm.s81914