Effects of different pelvic osteotomies on acetabular morphology in developmental dysplasia of hip in children

World J Orthop. 2023 Apr 18;14(4):186-196. doi: 10.5312/wjo.v14.i4.186.

Abstract

Developmental dysplasia of hip seriously affects the health of children, and pelvic osteotomy is an important part of surgical treatment. Improving the shape of the acetabulum, preventing or delaying the progression of osteoarthritis is the ultimate goal of pelvic osteotomies. Re-directional osteotomies, reshaping osteotomies and salvage osteotomies are the three most common types of pelvic osteotomy. The influence of different pelvic osteotomy on acetabular morphology is different, and the acetabular morphology after osteotomy is closely related to the prognosis of the patients. But there lacks comparison of acetabular morphology between different pelvic osteotomies, on the basis of retrospective analysis and measurable imaging indicators, this study predicted the acetabular shape after developmental dysplasia of the hip pelvic osteotomy in order to help clinicians make reasonable and correct decisions and improve the planning and performance of pelvic osteotomy.

Keywords: Acetabular morphology; Developmental dysplasia of the hip; Pelvic osteotomy; Re-directional osteotomies; Reshaping osteotomies; Salvage osteotomies.

Publication types

  • Review