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Pol le Cœur Triple Pelvic Osteotomy

  • Jérôme Sales de Gauzy
  • Franck Accadbled
Chapter

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.

Keywords

Pelvic osteotomy Triple osteotomy Pol le Cœur osteotomy Hip dysplasia Developmental dysplasia of the hip Legg-Calvé-Perthes disease 

Further Reading

  1. 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.Google Scholar
  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.CrossRefGoogle Scholar
  3. 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.Google Scholar
  4. Sales de Gauzy J. Pelvic reorientation osteotomies and acetabuloplasties in children. Surgical technique. Orthop Traumatol Surg Res. 2010;96(7):793–9.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Pediatric OrthopaedicsHôpital des Enfants, CHU de ToulouseToulouseFrance

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