Making the cut: a technical note and literature review of Bernese periacetabular osteotomy techniques with special attention to ischial osteotomy initiation and completion with an inside to anterior curved osteotomy

HAPA O., Hevesi M., Lee S., Trousdale R. T., Sierra R. J.

European Journal of Orthopaedic Surgery and Traumatology, cilt.34, sa.3, ss.1691-1697, 2024 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Sayı: 3
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1007/s00590-023-03787-5
  • Dergi Adı: European Journal of Orthopaedic Surgery and Traumatology
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.1691-1697
  • Anahtar Kelimeler: Ischial cut, Peri-acetabular osteotomy, Sciatic nerve
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Periacetabular osteotomy includes a fluoroscopy-guided ischial cut without direct visualization. Previously described techniques include a mediolateral ischial cortex cut, which is associated with the risk of injuring nearby nerves. Another drawback of that technique is the difficulty connecting an ischial cortex cut with a retroacetabular cut due to orthogonal nature of the osteotomy. In general, an additional cut from medial to lateral is required. The present study aimed to describe a technique that eliminates those problems due to use of only a central cut of the ischium and the curved nature of the osteotomy.