Ganz osteotomy and adult hip dysplasia

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Friday, June 7, 2019
A periacetabular osteotomy PAO is a surgical treatment for hip dysplasia that is caused by a deformity in the acetabulum, the curved portion of the pelvis that forms the socket of the hip joint. Symptoms of this condition — which may be present from birth, but may only become evident in adolescence or adulthood — generally include hip pain and restricted mobility. Figure 1. For some people, hip dysplasia results when the acetabulum does not develop fully, making it too shallow or otherwise misaligned to adequately contain and support the femoral head.
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Radiographic and clinical analysis of pelvic triple osteotomy for adult hip dysplasia

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Bernese periacetabular osteotomy for hip dysplasia: Surgical technique and indications

The severe forms are detected and treated at birth or in infancy but milder forms may not become apparent until adolescence or early adult life. The shallow socket leads to excessive forces on the front of the hip socket causing tears of the acetabular labrum and damage to the articular cartilage. Left untreated, this cartilage damage progresses to osteoarthritis, sometimes within only a few years. Early diagnosis is therefore important to improve the mechanics of the hip and relieve symptoms.
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Hip Dysplasia

Poor coverage of the right femoral head by acetabulum, which has a steep angle. Abnormal shape of femoral head. No significant dislocation of femoral head.
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Hip Joint is ball and socket joint. Hip dysplasia is a clinical condition where the hip joint socket is shallow. The shallow socket results in an abnormal loading and there by it leads to early wear and tear changes in the hip joint.
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