| Veröffentlichte Version Download ( PDF | 781kB) | Lizenz: Creative Commons Namensnennung 4.0 International |
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.
Alternative Links zum Volltext
Beteiligte Einrichtungen
Details
| Dokumentenart | Artikel | ||||
| Titel eines Journals oder einer Zeitschrift | Archives of Orthopaedic and Trauma Surgery | ||||
| Verlag: | Springer | ||||
|---|---|---|---|---|---|
| Ort der Veröffentlichung: | NEW YORK | ||||
| Datum | 2020 | ||||
| Institutionen | Medizin > Lehrstuhl für Orthopädie | ||||
| Identifikationsnummer |
| ||||
| Stichwörter / Keywords | FOLLOW-UP; TRIPLE OSTEOTOMY; CUP MEASUREMENT; DYSPLASIA; SURVIVORSHIP; HIPS; THA; Periacetabular osteotomy; Retroversion; Dysplasia; Hip surgery; Impingement; Navigation | ||||
| Dewey-Dezimal-Klassifikation | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin | ||||
| Status | Veröffentlicht | ||||
| Begutachtet | Ja, diese Version wurde begutachtet | ||||
| An der Universität Regensburg entstanden | Ja | ||||
| URN der UB Regensburg | urn:nbn:de:bvb:355-epub-448258 | ||||
| Dokumenten-ID | 44825 |
Downloadstatistik
Downloadstatistik