Pascual-Garrido Cecilia, Harris Michael D, Clohisy John C
Adult Reconstruction and Adolescent and Young Adult Hip Service, Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Missouri.
Program in Physical Therapy, Washington University School of Medicine, St Louis, Missouri; Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Missouri.
J Arthroplasty. 2017 Sep;32(9S):S32-S37. doi: 10.1016/j.arth.2017.02.015. Epub 2017 Feb 14.
The Bernese periacetabular osteotomy is an effective treatment for symptomatic developmental dysplasia in the prearthritic young adult hip. Refinements in the periacetabular osteotomy technique and perioperative management have markedly improved the clinical outcomes and recovery in these patients. We will review the clinical presentation of acetabular dysplasia, indications for surgery, perioperative management, and contemporary refinements in technique including refined acetabular reduction, adjunctive hip arthroscopy, femoral head-neck osteochondroplasty, femoral procedures, and rapid recovery protocols. In well-selected patients, this reconstructive osteotomy should be considered safe and effective in alleviating pain and improving hip function in patients with symptomatic acetabular dysplasia.
伯尔尼髋臼周围截骨术是治疗关节炎前期年轻成人髋关节有症状的发育性髋关节发育不良的有效方法。髋臼周围截骨术技术和围手术期管理的改进显著改善了这些患者的临床疗效和恢复情况。我们将回顾髋臼发育不良的临床表现、手术指征、围手术期管理以及技术的当代改进，包括精确的髋臼复位、辅助髋关节镜检查、股骨头颈骨软骨成形术、股骨手术以及快速康复方案。在精心挑选的患者中，这种重建性截骨术在缓解有症状髋臼发育不良患者的疼痛和改善髋关节功能方面应被视为安全有效的。
