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Schwarz, Timo J. ; Maderbacher, Günther ; Leiss, Franziska ; Grifka, Joachim

Three-dimensional acetabular orientation during periacetabular osteotomy: A videoanalysis of acetabular rim position using an external fixator as navigation tool during reorientation procedure

Schwarz, Timo J. , Maderbacher, Günther, Leiss, Franziska und Grifka, Joachim (2020) Three-dimensional acetabular orientation during periacetabular osteotomy: A videoanalysis of acetabular rim position using an external fixator as navigation tool during reorientation procedure. Archives of Orthopaedic and Trauma Surgery.

Veröffentlichungsdatum dieses Volltextes: 09 Feb 2021 10:48
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.44825


Zusammenfassung

Introduction Bernese periacetabular osteotomy is an effective procedure for treating acetabular dysplasia. However, limited visual control of the acetabular position during surgery may result in under- or overcorrection with residual dysplasia or femoroacetabular impingement. Thus, we wanted to find a simple method to control the effect of correction in the sagittal and coronal plane. Method The ...

Introduction Bernese periacetabular osteotomy is an effective procedure for treating acetabular dysplasia. However, limited visual control of the acetabular position during surgery may result in under- or overcorrection with residual dysplasia or femoroacetabular impingement. Thus, we wanted to find a simple method to control the effect of correction in the sagittal and coronal plane. Method The acetabular coordinates are shown by two perpendicular tubes of an external fixator mounted onto a third tube that is fixed to the acetabular fragment with two Schanz screws. This method enables the isolated acetabular reorientation in the coronal, sagittal, and transverse plane. In a sawbone pelvis model, the acetabular rim is marked with a copper wire and a silicon adherent. To show the radiographic effect on acetabular parameters and the rim position, we visualized correction in the coronal and sagittal plane under fluoroscopic control. Results Lateral rotation of the acetabular fragment had the highest impact on radiographic lateral coverage of the femoral head. But also ventral coverage increased during isolated lateral rotation. Anterior rotation showed almost no effect on lateral coverage and just a little effect on ventral coverage but caused severe total acetabular retroversion. Conclusion Three-dimensional control of the acetabular orientation during periacetabular osteotomy is important to avoid over- and under-correction. Isolated lateral rotation of the acetabular fragment should be the predominant direction of correction during periacetabular osteotomy. Ambitious anterior correction may be the main source for severe acetabular retroversion following periacetabular osteotomy.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftArchives of Orthopaedic and Trauma Surgery
Verlag:Springer
Ort der Veröffentlichung:NEW YORK
Datum2020
InstitutionenMedizin > Lehrstuhl für Orthopädie
Identifikationsnummer
WertTyp
10.1007/s00402-020-03632-yDOI
Stichwörter / KeywordsFOLLOW-UP; TRIPLE OSTEOTOMY; CUP MEASUREMENT; DYSPLASIA; SURVIVORSHIP; HIPS; THA; Periacetabular osteotomy; Retroversion; Dysplasia; Hip surgery; Impingement; Navigation
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-448258
Dokumenten-ID44825

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