San Diego Osteotomy (Lateral Acetabuloplasty)
The comprehensive approach to neuromuscular hip disease (dysplasia and dislocation) requires appropriate management of contracted hip flexors, adductors, and sometimes distal hamstrings, along with reduction of the hip (with capsulorrhaphy in severe cases) plus proximal femoral and acetabular osteotomies. The San Diego osteotomy (lateral bending acetabuloplasty) allows for better correction of the posterior-superior acetabular deficiency, which is most common in neuromuscular hip disease, resulting in excellent midterm outcomes with low rates of recurrent instability.
KeywordsPericapsular osteotomy Lateral bending acetabuloplasty Neuromuscular hip dysplasia
We want to thank J. D. Bomar, MPH, Research Coordinator and multimedia expert in our orthopedic division, for his extensive effort in compiling this chapter.