, Volume 470, Issue 12, pp 3456-3458
Date: 22 Jun 2012

Report of Breakout Session: Intraarticular Work During Periacetabular Osteotomy—Simultaneous Arthrotomy or Hip Arthroscopy?

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Arthrotomy: Where Are We Now?

Periacetabular osteotomy (PAO) has come to the forefront as the pelvic osteotomy of choice in North America and Europe for treating the dysmorphic acetabulum. PAO is currently indicated as the preferred treatment for patients with symptomatic hip dysplasia and has a role in treating patients with acetabular retroversion and protrusio. The acetabular deformity commonly is associated with labral pathology and deformities in the shape of the femoral head and head-neck junction. In 1999, Myers et al. [3] recommended open arthrotomy at the time of the PAO to treat the concomitant labral pathology and to perform an osteochondroplasty of the femoral head and neck junction. Simultaneous arthrotomy allows the surgeon to assess intraarticular abnormalities and hip motion and impingement after reorientation of the acetabulum.

The surgical technique used to perform the arthrotomy may be an important variable in relief of pain, restoration of function, and durability of

Session Participants: Bryan T. Kelly MD, Damian Griffin MD, Martin Beck MD.
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