Mean 20 year follow up of bernise periacetabular osteotomy by drs. This technique is performed through a single anterior. You will be given oral pain medicines to manage th e. The bernese periacetabular osteotomy pao was developed by professor reinhold ganz and his colleagues in switzerland. Optimization of the position of the acetabulum in a ganz. Periacetabular osteotomy is performed on an inpatient basis with a 23 day stay in in the hospital. This surgery will require a short stay in the hospital. The bernese periacetabular osteotomy pao is a powerful technique in the treatment of hip dysplasia and related conditions of the hip. The goal is to alleviate the patients pain, restore function, and. A pao is an open procedure where the socket is separated from the rest of the pelvis by making three cuts in the pelvis. Periacetabular hip osteotomy for residual dysplasia treatment scielo. Evolution of technique and indications for the bernese periacetabular osteotomy.
Bernese osteotomy or ganz procedure or periacetabular. Periacetabular osteotomy pao for acetabular dysplasia. Safe fixation with two acetabular screws after ganz. A new periacetabular osteotomy for the treatment of hip dysplasias technique and preliminary results reinhold ganz, m. Bernese periacetabular osteotomy for hip dysplasia. Before the osteotomy procedure, anteroposterior pelvic radiographs. Simon steppacher, moritz tannast, reinhold ganz, and klaus seibenrock in the journal clinical orthopedics and related research 2008, volume 466 pages 16331644. Physical therapy guidelines periacetabular osteotomy dr.
Physical therapy guidelines periacetabular osteotomy are designed to assist during the rehabilitation process. The technique described by cole et al was utilized to provide effective acetabular surgery. What can i expect in recovery from periacetabular osteotomy. Pdf with ganz periacetabular osteotomy, the osteotomized acetabular fragment is reoriented in an adducted, extended, and rotated position. Ganz periacetabular osteotomy has a number of advantages over other pelvic. The bernese periacetabular osteotomy pao was initially introduced by ganz and colleagues as an acetabular reorientation technique for the treatment of symptomatic, acetabular dysplasia. Technique of bernese periacetabular osteotomy by t. After periacetabular osteotomy, you will be on crutches for four weeks, placing 20 pounds of weight down on your operative leg. Lessons learned after more than 250 periacetabular osteotomies. Bernese periacetabular osteotomy pao was introduced by ganz as a novel surgical technique for hip dysplasia with a congruent hip to reorient the acetabulum in skeletally mature patients. Rehabilitation guidelines for periacetabular osteotomy. Presentation by timo ecker switzerland entitled technique of bernese periacetabular osteotomy during the ehsefort advanced. To learn more about periacetabular osteotomies, please click here to access our patient guide to periacetabular osteotomy.
Early experience and results with the periacetabular osteotomy. At panorama, we offer osteotomies of the femur, pelvis, or acetabulum to correct problems with the hip joint if necessary. Safety of modified stoppa approach for ganz periacetabular. Pao surgery is most commonly used to treat acetabular dysplasia or a shallow hip socket human hip dysplasia. Evolution of technique and indications for the bernese. Over the past decade, this versatile osteotomy has been adopted as one of the preferred techniques for acetabular deformity correction. In the anterior approach, as part of the original technique for the anterior aspect.
Anatomy of the medial femoral circumflex artery and its surgical implications. The technique through a modified smithpetersen approach offers advantages. Bernese osteotomy or ganz procedure or periacetabular osteotomy pao periacetabular osteotomy is a surgery used for hip dysplasia treatment. Before this technique was developed, osteotomies violated the. About periacetabular osteotomy periacetabular osteotomy pao is a surgical treatment for acetabular dysplasia that preserves and enhances the patients own hip joint rather than replacing it with an artificial part.
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