Modified three-phase pelvic osteotomy

Modified pelvic three-phase osteotomy for surgical treatment of hip dislocation. Hip dislocation or subluxation can cause pain in many children. Children over 8 years of age need to undergo sacral surgery to correct or reduce medullary dysplasia and prevent recurrence of dislocation (Figure 12.38.4.2-0-1, 12.38. 4.2-0-2). Conventional Chiari osteotomy or modified Steel pelvis three plane osteotomy, while femoral varus reverse rotation osteotomy and adduction or flexor lysis. Pemberton and Salter pelvic osteotomy are not effective. Cover surgery can be used to increase the coverage of stunted residual acetabulum. It is reasonable to use a wide range of surgical procedures for open reduction, pelvic osteotomy, femoral shortening, and varus reverse rotation osteotomy for the treatment of severe hip injuries. Treatment of diseases: dislocation of the hip Indication Modified pelvic three-phase osteotomy is suitable for subluxation or dislocation of the hip over 3 years of age. Preoperative preparation Prepare routinely before surgery. Surgical procedure 1. After removing the adductor muscle from the pubic symphysis and sciatic branch of the pubic symphysis through the same incision, the pubic symphysis and the ischial branch were cut near the pubic symphysis with a rongeur. 2. Complete the pelvic osteotomy with the Salter method. The acetabulum rotates in the direction of the inclusive femoral head. The rotating acetabulum is fixed by the tibia and the incision is closed.