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San Diego Osteotomy (Lateral Acetabuloplasty)

  • Vidyadhar V. Upasani
  • Dennis R. Wenger
Chapter

Abstract

The comprehensive approach to neuromuscular hip disease (dysplasia and dislocation) requires appropriate management of contracted hip flexors, adductors, and sometimes distal hamstrings, along with reduction of the hip (with capsulorrhaphy in severe cases) plus proximal femoral and acetabular osteotomies. The San Diego osteotomy (lateral bending acetabuloplasty) allows for better correction of the posterior-superior acetabular deficiency, which is most common in neuromuscular hip disease, resulting in excellent midterm outcomes with low rates of recurrent instability.

Keywords

Pericapsular osteotomy Lateral bending acetabuloplasty Neuromuscular hip dysplasia 

Notes

Acknowledgment

We want to thank J. D. Bomar, MPH, Research Coordinator and multimedia expert in our orthopedic division, for his extensive effort in compiling this chapter.

References

  1. 1.
    Mubarak SJ, Valencia FG, Wenger DR. One-stage correction of the spastic dislocated hip. Use of pericapsular acetabuloplasty to improve coverage. J Bone Joint Surg Am. 1992;74(9):1347–57.CrossRefGoogle Scholar
  2. 2.
    Kim HT, Wenger DR. Location of acetabular deficiency and associated hip dislocation in neuromuscular hip dysplasia: three-dimensional computed tomographic analysis. J Pediatr Orthop. 1997;17(2):143–51.CrossRefGoogle Scholar
  3. 3.
    McNerney NP, Mubarak SJ, Wenger DR. One-stage correction of the dysplastic hip in cerebral palsy with the San Diego acetabuloplasty: results and complications in 104 hips. J Pediatr Orthop. 2000;20(1):93–103.PubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Rady Children’s Hospital San Diego, University of California San DiegoSan DiegoUSA
  2. 2.Department of Orthopedic Surgery, Pediatric Orthopedic Training ProgramRady Children’s Hospital San Diego, University of California, San DiegoSan DiegoUSA

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