Acetabular ventroversion with double pelvic osteotomy versus triple pelvic osteotomy: a cadaveric study in dogs.

نویسندگان

  • John P Punke
  • Derek B Fox
  • James L Tomlinson
  • J Wade Davis
  • F A Mann
چکیده

OBJECTIVE To determine which of 3 different plate angles (20°, 25°, 30°) used in double pelvic osteotomy (DPO) would result in the most similar acetabular angle (AA) achieved with a 20° triple pelvic osteotomy (TPO) technique in dogs. STUDY DESIGN Experimental anatomic study. ANIMALS Cadaveric canine pelves (n = 8). METHODS Transverse plane computed tomographic images of cadaveric pelves with intact sacroiliac joints, mounted in a custom jig, were made (baseline) and again after DPO (20°, 25°, 30°) and TPO (20°) and pelvic angles measured in 6 transverse planes. Pelvic angles of the 3 DPO techniques were compared with TPO using concordance correlation to determine which DPO angle resulted in an acetabular ventroversion angle closest to TPO. RESULTS Mean ± SD AAs were 32.89 ± 2.23 (baseline), 47.39 ± 4.39 (20° DPO), 51.43 ± 5.06 (25° DPO), 54.75 ± 4.38 (30° DPO), and 50.20 ± 5.76 (20° TPO). Concordance correlations for the AA compared with 20° TPO were 0.027 (baseline), 0.721 (20° DPO), 0.902 (25° DPO), and 0.593 (30° DPO). A concordance correlation of ≥ 0.8 indicates good correlation. CONCLUSIONS A 25° DPO is most similar in acetabular ventroversion to 20° TPO (concordance correlation, 0.902).

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

A Modified Triple Pelvic Osteotomy for the Treatment of Hip Hypoplasia

  Background: The prevalence of hip dysplasia is 1 in 1000. Several pelvic osteotomy methods have been developed to prevent early osteoarthritis, such as triple osteotomy. In this study we are going to introduce our new technique that was done on 4 patients with favorable short-term results.   Methods: Four patients underwent triple osteotomy and fixation using a reconstruction plate and early ...

متن کامل

Double pelvic osteotomy for the treatment of hip dysplasia in young dogs.

UNLABELLED The aim of this study was to evaluate the feasibility of the double pelvic osteotomy (DPO) (osteotomy of the ilium and pubis) to treat clinical cases of hip dyplasia in young dogs instead of performing a triple pelvic osteotomy (TPO) (osteotomy of the ilium, pubis, and ischium). Candidates for DPO were 4.5- to nine-month-old dogs with coxofemoral joint subluxation and laxity, indicat...

متن کامل

Painful nonunion after triple pelvic osteotomy. Report of five cases.

Tönnis triple pelvic osteotomy is an accepted technique to correct acetabular dysplasia and degenerative labral pathology. A series of 409 consecutive patients who underwent a triple pelvic osteotomy between 1987 and 1999 were followed for a mean of 7.1 years (2 to 15). Five patients (1.2%), all women, developed a double nonunion and required revision, which involved excision of the pseudarthro...

متن کامل

Triple pelvic osteotomy in the treatment of hip dysplasia.

INTRODUCTION Insufficient femoral head coverage is found in a variety of diseases, with acetabular dysplasia as the most frequent disorder and triple pelvic osteotomy as the most recently introduced surgical treatment. OBJECTIVE This study analyses pre- and postoperative pathoanatomic characteristics of triple in comparison to Salter and Chiari osteotomies, with a logistic regression analysis...

متن کامل

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 ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Veterinary surgery : VS

دوره 40 5  شماره 

صفحات  -

تاریخ انتشار 2011