Zusammenfassung
Die erstmals von Ganz und Mast beschriebene Berner periacetabuläre Osteotomie (PAO) wurde für die Behandlung von Hüftdysplasien entwickelt. Der Zweck dieser Operationstechnik besteht darin, den Hüftknochen durch einen modifizierten Smith-Petersen-Zugang freizulegen, so dass Osteotomien rund um die Hüftpfanne durchgeführt werden können, während die hintere Säule intakt bleibt. Nach Abschluss der Osteotomien ist das Hüftpfannenfragment frei beweglich und kann entsprechend der präoperativen Deformität neu ausgerichtet werden. Während des chirurgischen Eingriffs sind mehrere anatomische Strukturen gefährdet, darunter der Nervus cutaneus femoris lateralis, die femoralen neurovaskulären Strukturen, die neurovaskulären Strukturen des Obturators, der Ischiasnerv und die medialen femoralen Zirkumflexgefäße. In diesem Kapitel soll die modifizierte Technik beschrieben werden, die wir anwenden, um das Risiko von Verletzungen dieser anatomischen Strukturen zu minimieren.
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Bingham, J.S., Trousdale, R.T., Sierra, R.J. (2023). Becken-Osteotomien: Die Technik der periacetabulären Osteotomie bei Patienten mit Restdysplasie der Hüfte. In: Drescher, W.R., Koo, KH., Windsor, R.E. (eds) Fortschritte in der speziellen Hüftchirurgie. Springer, Cham. https://doi.org/10.1007/978-3-031-27202-8_4
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