Ganz periacetabular osteotomy pdf

At panorama, we offer osteotomies of the femur, pelvis, or acetabulum to correct problems with the hip joint if necessary. Pdf safe fixation with two acetabular screws after ganz. The bernese periacetabular osteotomy pao was initially introduced by ganz and colleagues as an acetabular reorientation technique for the treatment of symptomatic, acetabular dysplasia. About periacetabular osteotomy periacetabular osteotomy pao is a surgical treatment for acetabular dysplasia that preserves and enhances the patients own hip joint rather than replacing it with an artificial part. Safe fixation with two acetabular screws after ganz. A new periacetabular osteotomy for the treatment of hip dysplasias. The bernese periacetabular osteotomy pao is a powerful technique in the treatment of hip dysplasia and related conditions of the hip.

Anatomy of the medial femoral circumflex artery and its surgical implications. Safety of modified stoppa approach for ganz periacetabular. What can i expect in recovery from periacetabular osteotomy. The technique through a modified smithpetersen approach offers advantages. Before the osteotomy procedure, anteroposterior pelvic radiographs. Evolution of technique and indications for the bernese. Physical therapy guidelines periacetabular osteotomy are designed to assist during the rehabilitation process. Bernese osteotomy or ganz procedure or periacetabular. Periacetabular osteotomy is performed on an inpatient basis with a 23 day stay in in the hospital. Hip dysplasia periacetabular osteotomy surgery youtube. It is then repositioned to better cover the femoral head and secured with long screws and potentially bone grafting material fig 5 and 6. A pao is an open procedure where the socket is separated from the rest of the pelvis by making three cuts in the pelvis. Before this technique was developed, osteotomies violated the.

The bernese periacetabular osteotomy pao is a reorientation procedure of the dysplastic acetabulum. Bernese osteotomy or ganz procedure or periacetabular osteotomy pao periacetabular osteotomy is a surgery used for hip dysplasia treatment. Over the past decade, this versatile osteotomy has been adopted as one of the preferred techniques for acetabular deformity correction. A commonly used osteotomy to correct dysplasia is the ganz. You will be given oral pain medicines to manage th e. Optimization of the position of the acetabulum in a ganz. Physical therapy guidelines periacetabular osteotomy dr. Periacetabular osteotomy pao for acetabular dysplasia. In the anterior approach, as part of the original technique for the anterior aspect. Bernese periacetabular osteotomy for hip dysplasia. Combined periacetabular and femoral osteotomies for severe. Simon steppacher, moritz tannast, reinhold ganz, and klaus seibenrock in the journal clinical orthopedics and related research 2008, volume 466 pages 16331644. The bernese periacetabular osteotomy pao was developed by professor reinhold ganz and his colleagues in switzerland. Mean 20 year follow up of bernise periacetabular osteotomy by drs.

Evolution of technique and indications for the bernese periacetabular osteotomy. To learn more about periacetabular osteotomies, please click here to access our patient guide to periacetabular osteotomy. The goal is to alleviate the patients pain, restore function, and. Technique of bernese periacetabular osteotomy by t. Lessons learned after more than 250 periacetabular osteotomies. Early experience and results with the periacetabular osteotomy. Pao surgery is most commonly used to treat acetabular dysplasia or a shallow hip socket human hip dysplasia. After periacetabular osteotomy, you will be on crutches for four weeks, placing 20 pounds of weight down on your operative leg. Bernese periacetabular osteotomy pao was introduced by ganz as a novel surgical technique for hip dysplasia with a congruent hip to reorient the acetabulum in skeletally mature patients. Periacetabular osteotomy pao is a surgical procedure to correct acetabular orientation in developmental dysplasia of the hip ddh. Patients will be seen preoperatively for a physical therapy evaluation to include strength and range of motion.

Presentation by timo ecker switzerland entitled technique of bernese periacetabular osteotomy during the ehsefort advanced. Rehabilitation guidelines for periacetabular osteotomy. This technique is performed through a single anterior. This surgery will require a short stay in the hospital. The technique described by cole et al was utilized to provide effective acetabular surgery. Ganz periacetabular osteotomy has a number of advantages over other pelvic. Pdf with ganz periacetabular osteotomy, the osteotomized acetabular fragment is reoriented in an adducted, extended, and rotated position.