Zusammenfassung
Die periazetabuläre Beckenosteotomie (PAO) nach Ganz ist eine bewährte Operationstechnik zur Neuausrichtung der Hüftgelenkspfanne unter Erhalt der Blutversorgung des frei beweglichen azetabulären Fragmentes. Der hintere Pfeiler und somit die Form und Stabilität des kleinen Beckens bleibt intakt. Indikationen sind die symptomatische residuale Dysplasie der Hüfte nach Verschluss der Wachstumsfugen, azetabuläre Retroversion, Protrusio azetabuli sowie Status nach Morbus Perthes. Die Technik ist anspruchsvoll und es besteht eine signifikante Lernkurve mit deutlich erhöhter Komplikationsrate bei den ersten 20–50 Eingriffen. Bei korrekter Indikation und exakter Neuorientierung der Pfanne können im Langzeitverlauf gute, dem natürlichen Verlauf meist überlegene Ergebnisse erwartet werden, mit erhaltener nativer Hüfte in 60 % der Fälle nach 20 Jahren und 29 % nach 30 Jahren.
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Büchler, L., Siebenrock, K.A. (2021). Periazetabuläre Beckenosteotomie. In: Günther, KP., Schaser, KD. (eds) Hüfte. Meistertechniken in der operativen Orthopädie und Unfallchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-62085-4_1
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