Pelvic osteotomy

Last revised by Joshua Yap on 13 Jan 2023

Pelvic osteotomy relates to an orthopedic treatment for developmental acetabular dysplasia of the hip.

The main purpose of pelvic osteotomy is the prevention of early degenerative changes by stabilization of the hip and redistribution of joint loading. It is obtained by surgical reshaping/remodeling or redirection of an abnormal acetabulum. 

Types

Reshaping osteotomy (performed when the triradiate cartilage is open):

Redirectional osteotomy (orientation of the acetabulum is changed by transection of the innominate bone):

  • Salter (single innominate osteotomy)

  • Sutherland (double innominate osteotomy) 

  • Steel, Tonnis, or Carlios (triple innominate osteotomy)

  • Ganz (periacetabular)

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