Dega osteotomy for the treatment of congenital dysplasia of the hip. This procedure osteotomizes the three pelvic bones close to the acetabulum and. Request pdf does dega osteotomy increase acetabular volume in developmental dysplasia of the hip. Percutaneous pelvic osteotomy in cerebral palsy patients. The dega osteotomy is an incomplete transiliac osteotomy and takes advantage. In a dega osteotomy, a cut is made in the pelvis above the pelvic socket. Although much confusion still surrounds the actual procedure of the dega osteotomy, it is one of the most commonly used osteotomies in the management of ddh. By turning down the top part of the flat hip socket, a more cuplike shape is created which can fit around the ball of the hip to help contain it in the correct position. To describe the surgical technique of and indications for. Dega refers to the orthopedist who first described the technique and osteotomy refers to the fact that the bone of the socket is cut. The dega osteotomy is an incomplete transiliac osteotomy and takes. Pdf pelvic osteotomies are an integral part of treatment in developmental. Dega osteotomy for the management of developmental dysplasia of the hip in children aged 28 years. The management of developmental dysplasia of the hip ddh in walking children is difficult.
The dega osteotomy is a particular procedure that has been very successful in treating the hips of children with cerebral palsy. Dega, working in poznan, poland, described an incomplete iliac osteotomy in 1969. Pdf pemberton osteotomy for acetabular dysplasia researchgate. Request pdf dega versus salter osteotomy for the treatment of developmental dysplasia of the hip a total of 93 children 99 hips with developmental dysplasia of the hip were analyzed in a. Reported just a few years after pembertons osteotomy, the dega osteotomy was part of a continuum of incomplete osteotomies that also include the pembersal and the san diego osteotomies.
The dega osteotomyacetabuloplasty for clinicians johns. The surgeon bends part of the pelvic bone down to make the socket into more of a cup. The dega osteotomy as originally described provides anterior and lateral coverage for patients with developmental dysplasia of the hip by preserving the inner table of the pelvis posterior to the iliopectineal line and the entire cortex of the sciatic notch. The dega pelvic osteotomy is a common procedure in this patient population and is often combined with a proximal femoral osteotomy. Request pdf dega osteotomy for the correction of acetabular dysplasia of the hip. Dega osteotomy for the management of developmental. In older children, a pelvic osteotomy is needed to achieve a stable concentric reduction. The dega osteotomy hinges the acetabulum the socket down over the head of the femur thigh bone. It is done during the same operative time as any work on the femur and or muscles around the hip.
The hallmark of the dega osteotomy and its variants is the use of an intact. In a dega osteotomy pelvic osteotomy a cut is made into the pelvis above the socket of the hip joint. Also,acombinedcorticocancellous bone graft is the most advantageous graft for this procedure. Evaluation of the results of operative treatment of hip dysplasia in. Dega ortopedia pdf paris dega, w contributo allo studio clinico della riconstruzione del tetto cotiloideo. Hip pelvic osteotomy dega pemberton chiari neuromuscular pathology. The purpose of this chapter is to discuss pelvic osteotomy as a.
These osteotomies can be performed as an isolated procedure or in conjunction with open reduction of the hip and proximal femoral osteotomy. A surgical cut is made in the pelvis, above the socket. Incomplete transiliac osteotomy in skeletally mature adolesc. The treatment at this stage can be either a salvage procedure or hip. Dega osteotomy is similar to that of the pemberton osteotomy but the dega. The new position of the socket is held with a small block of bone. Dega osteotomy for the correction of acetabular dysplasia. This is done when the socket is too wide and too shallow. Some examples of pelvic osteotomy surgeries used to treat hip dysplasia in young children are the dega osteotomy and salter innominate osteotomy. Staheli lt, editor, practice of pediatric orthopaedics.
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