Cutting of the pelvic bone to realign the hip joint.
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Periacetabular osteotomy
Periacetabular osteotomy is a surgical procedure used to treat hip dysplasia in young adults. In this surgery, the pelvic bone is cut and the hip socket is realigned to improve coverage of the femoral head.
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Hip dysplasia is a congenital hip condition in which the patient has a shallow acetabulum or an abnormality in the shape of the upper femur. This can lead to limping and premature degeneration of the hip joint cartilage. Patients typically experience groin pain between the ages of 20 and 30.
Diagnosis and Treatment
Diagnosis is confirmed with an X-ray, and an MRI may be used to verify the condition of the labrum. Initial treatment focuses on managing pain and inflammation. The only surgical treatment options are periacetabular osteotomy or total hip replacement.
Periacetabular Osteotomy
This surgical procedure involves cutting the acetabulum from the pelvic bone and repositioning it with screws to better cover the femoral head. It reduces pain, restores function, and may delay total hip replacement. It is a technically challenging surgery performed with general anesthesia and continuous live X-ray guidance. The surgery is suitable for children over 10 years old and adults under 40 years old.