Combined pelvic osteotomy for the bipartite acetabulum in late developmental dysplasia of the hip: a ten-year prospective study.

In late developmental dysplasia of the hip in childhood, the deformed dysplastic acetabulum is malaligned and has lost its shape due to pressure from the subluxed femoral head. The outer part of the acetabulum involves the upper part of the original acetabulum, thereby giving a bipartite appearance. A clear edge separates the outer from inner part which represents the lower part of the original acetabulum and has no direct contact with the femoral head.

Combined pelvic osteotomy for deformed dysplastic acetabula: a 5-year prospective study.

Purpose: To assess clinical and radiological results of combined pelvic osteotomy (CPO) for deformed dysplastic acetabula.

Methods: Nine girls and 3 boys, aged 28 to 54 months, underwent CPO (combination of innominate osteotomy and Lance acetabuloplasty) to restore both the original shape and the mal-alignment of the acetabulum. They were followed up for at least 5 years.

The role of triple pelvic osteotomy in therapy of residual hip dysplasia and sequel of AVN: long-term experience.

Triple pelvic osteotomy was performed for sequel of DDH including AVN between 1981 and 2002 for 329 patients (351 hips, 280 females, 49 males, average age at surgery 16.5 years, range 9-41 years, follow-up 4-25 years). A small modification of Steel's technique consisting of strictly subperiostal resection of segment from both pubic and ischial bone was used.

Combined pelvic osteotomy in the treatment of both deformed and dysplastic acetabulum three years--prospective study.

Kuwait has a very high incidence of all types of developmental dysplasia of the hip. One of the most complicated forms is the deformed dysplastic acetabulum, which has not only abnormal orientation but it also has lost its shape by the pressure of the subluxed femoral head. The outer part of the socket involves the upper part of the original acetabulum, thus giving it a bipartite appearance.