Abstract
The Pol le Cœur osteotomy (PLCO) is a triple pelvic osteotomy that combines the innominate osteotomy of the ilium and osteotomies of the iliopubic and ischiopubic rami. The objectives are to improve femoral head coverage and coxofemoral joint stability. It is a reorientation osteotomy. The acetabulum tilts in retroversion, improving the anterior and lateral coverage but reducing posterior femoral head coverage. PLCO maintains hyaline cartilage contact between the femoral head and acetabulum. The main indications are hip dysplasia in childhood and Legg-Calvé-Perthes disease requiring containment.
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Further Reading
Le Cœur P. Correction des défauts d’orientation de l’articulation coxofémorale par ostéotomie de l’isthme iliaque. Rev Chir Orthop. 1965;5:211–2.
Pailhé R, Cavaignac E, Murgier J, Cahuzac JP, de Gauzy JS, Accadbled F. Triple osteotomy of the pelvis for Legg-Calve-Perthes disease: a mean fifteen year follow-up. Int Orthop. 2016;40(1):115–22.
Sales de Gauzy J. Indications de ostéotomies pelviennes chez l’enfant. In: Duparc J, editor. Conférences d’enseignement 1997 (cahiers d’enseignement de la SOFCOT, no. 62). Paris: Expansion Scientifique Publications; 1997. p. 71–90.
Sales de Gauzy J. Pelvic reorientation osteotomies and acetabuloplasties in children. Surgical technique. Orthop Traumatol Surg Res. 2010;96(7):793–9.
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de Gauzy, J.S., Accadbled, F. (2018). Pol le Cœur Triple Pelvic Osteotomy. In: Hamdy, R., Saran, N. (eds) Pediatric Pelvic and Proximal Femoral Osteotomies. Springer, Cham. https://doi.org/10.1007/978-3-319-78033-7_5
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DOI: https://doi.org/10.1007/978-3-319-78033-7_5
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