Le osteotomie periacetabolari e prossimali del femore

Autor:	M. Monesi, A. Barbuio, L. Turchetto
Rok vydání:	2010
Předmět:	musculoskeletal diseases medicine.medical_specialty Proximal femur business.industry medicine.medical_treatment Soft tissue medicine.disease Osteotomy Surgery Femoral head medicine.anatomical_structure Dysplasia Orthopedic surgery medicine Deformity medicine.symptom business Femoral neck
Zdroj:	LO SCALPELLO-OTODI Educational. 24:184-189
ISSN:	1970-6812 0390-5276
DOI:	10.1007/s11639-010-0082-2
Popis:	Dysplasia of the hip is not an uniform anterolateral insufficiency of coverage of the femoral head but shows a multitude of pure and combined anterior, lateral, and posterior dysplasia. Overload of the rim generates pressure point loading which leads to rapid degenerative arthritis. The periacetabular osteotomy is a very powerful technique, offering the ability to correct deformity in all planes. However, just like any surgical technique, the indications and limitations of the technique must be understood. Osteotomies of the proximal femur for hip joint conditions are normally done at the intertrochanteric or subtrochanteric level. Intraarticular osteotomies would be more direct and therefore allow a more powerful correction with no o very little undesired side correction. Based on detailed knowledge of the vascular anatomy of the proximal femur, an approach to safely dislocate the femoral head, the extended retinacular soft tissue flap preparation and femoral neck osteotomy is described.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::5e95d5aa29e3b2b57065fe6ad3bccbbe https://doi.org/10.1007/s11639-010-0082-2 Zobrazit plný text záznamu Full text from SpringerLink