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Rectus-Sparing Periacetabular Osteotomy Surgical Technique Video

March 15, 2015

Contributors: Christopher Pelt, MD; Christopher L Peters, MD; Mike Anderson, MS, ATC; Jill Erickson, PA; Joseph Bergman, MD; Joseph Bergman, MD

This video presents a rectus femoris-sparing modification of the Bernese periacetabular osteotomy (PAO). The video opens by discussing research by Dr. Peters et al comparing outcomes between using a Bernese periacetabular osteotomy that includes release of the rectus femoris and capsulotomy with repair of intraarticular pathology, to a less-invasive approach that leaves the rectus femoris attached and does not include a capsulotomy. We then present a surgical case that discusses the indications for a PAO and reviews preoperative radiographic findings of acetabular dysplasia. The surgical technique is then presented, including the details of the surgical approach with graphic overlays, and each cut of the PAO, referencing a sawbones demonstration to gain an understanding of the complex pelvic anatomy, followed by intraoperative footage and fluoroscopic imaging. The video concludes with postoperative radiographs, and a review of the benefits we have seen using this surgical technique.

Results for "Hip Preservation"

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2 of 4

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