Abstract
Innominate or femoral osteotomy sometimes is recommended for the surgical treatment of diseases of the hip in children, particularly congenital dysplasia and Legg-Perthes disease. The decision to perform an innominate osteotomy (Salter) or a varus derotation femoral osteotomy often hinges on no more than the preference of the surgeon. Some of this indecision is due to the lack of a definitive way to determine what these operations will accomplish in three dimensions and to the difficulty in predicting the exact amount of coverage of the femoral head that will be obtained by these procedures. A more accurate way to document the changes that can be anticipated after these procedures by roentgenographic evaluation would be helpful. If preoperative roentgenograms could show the relationships between the femur and acetabulum that could be anticipated after each of these procedures, the surgeon could make a more rational preoperative decision about the merits of each procedure. Roentgenograms of the hip made with the femur held in carefully measured amounts of internal rotation and abduction have been used for the preoperative evaluation of varus derotation osteotomy. A similar evaluation of the three-dimensional changes in acetabular orientation after a Salter innominate osteotomy should be possible if appropriate roentgenograms are made. Roentgenological techniques are described.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 306-309 |
| Number of pages | 4 |
| Journal | Journal of Bone and Joint Surgery - Series A |
| Volume | 63 |
| Issue number | 2 |
| State | Published - 1981 |
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ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Surgery
Cite this
Preoperative roentgenographic evaluation for osteotomies about the hip in children. / Rab, George T.
In: Journal of Bone and Joint Surgery - Series A, Vol. 63, No. 2, 1981, p. 306-309.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Preoperative roentgenographic evaluation for osteotomies about the hip in children
AU - Rab, George T
PY - 1981
Y1 - 1981
N2 - Innominate or femoral osteotomy sometimes is recommended for the surgical treatment of diseases of the hip in children, particularly congenital dysplasia and Legg-Perthes disease. The decision to perform an innominate osteotomy (Salter) or a varus derotation femoral osteotomy often hinges on no more than the preference of the surgeon. Some of this indecision is due to the lack of a definitive way to determine what these operations will accomplish in three dimensions and to the difficulty in predicting the exact amount of coverage of the femoral head that will be obtained by these procedures. A more accurate way to document the changes that can be anticipated after these procedures by roentgenographic evaluation would be helpful. If preoperative roentgenograms could show the relationships between the femur and acetabulum that could be anticipated after each of these procedures, the surgeon could make a more rational preoperative decision about the merits of each procedure. Roentgenograms of the hip made with the femur held in carefully measured amounts of internal rotation and abduction have been used for the preoperative evaluation of varus derotation osteotomy. A similar evaluation of the three-dimensional changes in acetabular orientation after a Salter innominate osteotomy should be possible if appropriate roentgenograms are made. Roentgenological techniques are described.
AB - Innominate or femoral osteotomy sometimes is recommended for the surgical treatment of diseases of the hip in children, particularly congenital dysplasia and Legg-Perthes disease. The decision to perform an innominate osteotomy (Salter) or a varus derotation femoral osteotomy often hinges on no more than the preference of the surgeon. Some of this indecision is due to the lack of a definitive way to determine what these operations will accomplish in three dimensions and to the difficulty in predicting the exact amount of coverage of the femoral head that will be obtained by these procedures. A more accurate way to document the changes that can be anticipated after these procedures by roentgenographic evaluation would be helpful. If preoperative roentgenograms could show the relationships between the femur and acetabulum that could be anticipated after each of these procedures, the surgeon could make a more rational preoperative decision about the merits of each procedure. Roentgenograms of the hip made with the femur held in carefully measured amounts of internal rotation and abduction have been used for the preoperative evaluation of varus derotation osteotomy. A similar evaluation of the three-dimensional changes in acetabular orientation after a Salter innominate osteotomy should be possible if appropriate roentgenograms are made. Roentgenological techniques are described.
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M3 - Article
C2 - 7462286
AN - SCOPUS:0019460493
VL - 63
SP - 306
EP - 309
JO - Journal of Bone and Joint Surgery - American Volume
JF - Journal of Bone and Joint Surgery - American Volume
SN - 0021-9355
IS - 2
ER -