Periacetabular osteotomy: A novel application of modified Stoppa approach

The Bernese periacetabular osteotomy (PAO) is a well-established procedure for symptomatic hip dysplasia in adolescents and young adults. However, it remains a technically demanding procedure, and several major complications have been described, many of which are related to the approach and surgical...

Full description

Saved in:
Bibliographic Details
Published in:SICOT-J 2022, Vol.8, p.33
Main Authors: Baraka, Mostafa M, Sallam, Haitham E, Abdelwahab, Mahmoud M
Format: Article
Language:English
Subjects:
anterior intrapelvic approach
ganz osteotomy
Hip
hip dysplasia
modified stoppa approach
Original
periacetabular osteotomy
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c386t-70df39e3de6ad960d52dfece345c123b585af7fec0a2d474a4e6f4428bf6cf4b3
cites cdi_FETCH-LOGICAL-c386t-70df39e3de6ad960d52dfece345c123b585af7fec0a2d474a4e6f4428bf6cf4b3
container_end_page
container_issue
container_start_page 33
container_title SICOT-J
container_volume 8
creator Baraka, Mostafa M
Sallam, Haitham E
Abdelwahab, Mahmoud M
description The Bernese periacetabular osteotomy (PAO) is a well-established procedure for symptomatic hip dysplasia in adolescents and young adults. However, it remains a technically demanding procedure, and several major complications have been described, many of which are related to the approach and surgical exposure. The current study evaluates the efficacy and safety of PAO performed through a modified Stoppa approach. A prospective series of nine consecutive patients with hip dysplasia were treated PAO through the modified Stoppa approach. The mean age was 22.4 years (15-30 years) and the mean follow-up was 3.2 years (2-5 years). Harris hip score (HHS) was used as a functional score, and the radiographic indices included the lateral center-edge angle (LCEA) and Tönnis roof angle. The approach allowed the osteotomy lines to be performed under direct visualization from the intra-pelvic surface of the acetabulum, aided by fluoroscopy. A lateral window was added to perform the final iliac cut and for subsequent mobilization and fixation of the acetabular fragment. The mean HHS improved significantly from 70.8 ± 4.9 points to 90.1 ± 3.3 points (p 
doi_str_mv 10.1051/sicotj/2022035
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_6a58af4a100e48c1afdd1bb58f2675d5</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_6a58af4a100e48c1afdd1bb58f2675d5</doaj_id><sourcerecordid>2702484739</sourcerecordid><originalsourceid>FETCH-LOGICAL-c386t-70df39e3de6ad960d52dfece345c123b585af7fec0a2d474a4e6f4428bf6cf4b3</originalsourceid><addsrcrecordid>eNpVkc1LHEEQxZsQiaJecwxzzGW1v6cnh4CIMQtCAppzU9Ndrb3MTE-6ewX_-4zuRvRURdWr3yt4hHxm9IxRxc5LdKluzjnlnAr1gRxxyfXKGNN-fNMfktNSNpRSprnWnf5EDoXqdMe4PCLr35gjOKzQbwfITSoVU03j07fmopnSIw4NzPMQHdSYpiaFZkw-hoi-ua1pnuF5nRO4hxNyEGAoeLqvx-TPj6u7y5-rm1_X68uLm5UTRtdVS30QHQqPGnynqVfcB3QopHKMi14ZBaFdJhS4l60EiTpIyU0ftAuyF8dkveP6BBs75zhCfrIJon0ZpHxvIdfoBrQalIEggVGK0jgGwXvWLxaB61Z5tbC-71jzth_RO5xqhuEd9P1mig_2Pj3aTrQtZ3IBfN0Dcvq7xVLtGIvDYYAJ07ZY3lIujWxFt0jPdlKXUykZw6sNo_Y5TruL0-7jXA6-vH3uVf4_PPEPn5-ezg</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2702484739</pqid></control><display><type>article</type><title>Periacetabular osteotomy: A novel application of modified Stoppa approach</title><source>NCBI_PubMed Central（免费）</source><creator>Baraka, Mostafa M ; Sallam, Haitham E ; Abdelwahab, Mahmoud M</creator><creatorcontrib>Baraka, Mostafa M ; Sallam, Haitham E ; Abdelwahab, Mahmoud M</creatorcontrib><description>The Bernese periacetabular osteotomy (PAO) is a well-established procedure for symptomatic hip dysplasia in adolescents and young adults. However, it remains a technically demanding procedure, and several major complications have been described, many of which are related to the approach and surgical exposure. The current study evaluates the efficacy and safety of PAO performed through a modified Stoppa approach. A prospective series of nine consecutive patients with hip dysplasia were treated PAO through the modified Stoppa approach. The mean age was 22.4 years (15-30 years) and the mean follow-up was 3.2 years (2-5 years). Harris hip score (HHS) was used as a functional score, and the radiographic indices included the lateral center-edge angle (LCEA) and Tönnis roof angle. The approach allowed the osteotomy lines to be performed under direct visualization from the intra-pelvic surface of the acetabulum, aided by fluoroscopy. A lateral window was added to perform the final iliac cut and for subsequent mobilization and fixation of the acetabular fragment. The mean HHS improved significantly from 70.8 ± 4.9 points to 90.1 ± 3.3 points (p &lt; 0.001). The mean LCEA improved from 8.2° ± 4.9 (range: 0-14) to 32.7° ± 5.3 (range: 26-40), with a mean improvement of 24.5°. The mean Tönnis angle improved from 28.4° ± 4.4 (range: 22-35) to 3.8° ± 3.3 (range: 0-10). Two patients had irritation from prominent screw heads that necessitated removal 1 year after the index procedure. One patient had radiographic progression of osteoarthritis. No cases of infection, non-union, heterotopic ossification, or nerve palsy were identified till the latest follow-up. Ganz PAO can be safely conducted through the modified Stoppa approach, providing direct exposure to the osteotomized surfaces, and protecting susceptible neuro-vascular structures. IV.</description><identifier>ISSN: 2426-8887</identifier><identifier>EISSN: 2426-8887</identifier><identifier>DOI: 10.1051/sicotj/2022035</identifier><identifier>PMID: 35969124</identifier><language>eng</language><publisher>France: EDP Sciences</publisher><subject>anterior intrapelvic approach ; ganz osteotomy ; Hip ; hip dysplasia ; modified stoppa approach ; Original ; periacetabular osteotomy</subject><ispartof>SICOT-J, 2022, Vol.8, p.33</ispartof><rights>The Authors, published by EDP Sciences, 2022.</rights><rights>The Authors, published by EDP Sciences, 2022 2022 The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-70df39e3de6ad960d52dfece345c123b585af7fec0a2d474a4e6f4428bf6cf4b3</citedby><cites>FETCH-LOGICAL-c386t-70df39e3de6ad960d52dfece345c123b585af7fec0a2d474a4e6f4428bf6cf4b3</cites><orcidid>0000-0003-0515-4327</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9377214/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9377214/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35969124$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baraka, Mostafa M</creatorcontrib><creatorcontrib>Sallam, Haitham E</creatorcontrib><creatorcontrib>Abdelwahab, Mahmoud M</creatorcontrib><title>Periacetabular osteotomy: A novel application of modified Stoppa approach</title><title>SICOT-J</title><addtitle>SICOT J</addtitle><description>The Bernese periacetabular osteotomy (PAO) is a well-established procedure for symptomatic hip dysplasia in adolescents and young adults. However, it remains a technically demanding procedure, and several major complications have been described, many of which are related to the approach and surgical exposure. The current study evaluates the efficacy and safety of PAO performed through a modified Stoppa approach. A prospective series of nine consecutive patients with hip dysplasia were treated PAO through the modified Stoppa approach. The mean age was 22.4 years (15-30 years) and the mean follow-up was 3.2 years (2-5 years). Harris hip score (HHS) was used as a functional score, and the radiographic indices included the lateral center-edge angle (LCEA) and Tönnis roof angle. The approach allowed the osteotomy lines to be performed under direct visualization from the intra-pelvic surface of the acetabulum, aided by fluoroscopy. A lateral window was added to perform the final iliac cut and for subsequent mobilization and fixation of the acetabular fragment. The mean HHS improved significantly from 70.8 ± 4.9 points to 90.1 ± 3.3 points (p &lt; 0.001). The mean LCEA improved from 8.2° ± 4.9 (range: 0-14) to 32.7° ± 5.3 (range: 26-40), with a mean improvement of 24.5°. The mean Tönnis angle improved from 28.4° ± 4.4 (range: 22-35) to 3.8° ± 3.3 (range: 0-10). Two patients had irritation from prominent screw heads that necessitated removal 1 year after the index procedure. One patient had radiographic progression of osteoarthritis. No cases of infection, non-union, heterotopic ossification, or nerve palsy were identified till the latest follow-up. Ganz PAO can be safely conducted through the modified Stoppa approach, providing direct exposure to the osteotomized surfaces, and protecting susceptible neuro-vascular structures. IV.</description><subject>anterior intrapelvic approach</subject><subject>ganz osteotomy</subject><subject>Hip</subject><subject>hip dysplasia</subject><subject>modified stoppa approach</subject><subject>Original</subject><subject>periacetabular osteotomy</subject><issn>2426-8887</issn><issn>2426-8887</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkc1LHEEQxZsQiaJecwxzzGW1v6cnh4CIMQtCAppzU9Ndrb3MTE-6ewX_-4zuRvRURdWr3yt4hHxm9IxRxc5LdKluzjnlnAr1gRxxyfXKGNN-fNMfktNSNpRSprnWnf5EDoXqdMe4PCLr35gjOKzQbwfITSoVU03j07fmopnSIw4NzPMQHdSYpiaFZkw-hoi-ua1pnuF5nRO4hxNyEGAoeLqvx-TPj6u7y5-rm1_X68uLm5UTRtdVS30QHQqPGnynqVfcB3QopHKMi14ZBaFdJhS4l60EiTpIyU0ftAuyF8dkveP6BBs75zhCfrIJon0ZpHxvIdfoBrQalIEggVGK0jgGwXvWLxaB61Z5tbC-71jzth_RO5xqhuEd9P1mig_2Pj3aTrQtZ3IBfN0Dcvq7xVLtGIvDYYAJ07ZY3lIujWxFt0jPdlKXUykZw6sNo_Y5TruL0-7jXA6-vH3uVf4_PPEPn5-ezg</recordid><startdate>2022</startdate><enddate>2022</enddate><creator>Baraka, Mostafa M</creator><creator>Sallam, Haitham E</creator><creator>Abdelwahab, Mahmoud M</creator><general>EDP Sciences</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-0515-4327</orcidid></search><sort><creationdate>2022</creationdate><title>Periacetabular osteotomy: A novel application of modified Stoppa approach</title><author>Baraka, Mostafa M ; Sallam, Haitham E ; Abdelwahab, Mahmoud M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-70df39e3de6ad960d52dfece345c123b585af7fec0a2d474a4e6f4428bf6cf4b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>anterior intrapelvic approach</topic><topic>ganz osteotomy</topic><topic>Hip</topic><topic>hip dysplasia</topic><topic>modified stoppa approach</topic><topic>Original</topic><topic>periacetabular osteotomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baraka, Mostafa M</creatorcontrib><creatorcontrib>Sallam, Haitham E</creatorcontrib><creatorcontrib>Abdelwahab, Mahmoud M</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>SICOT-J</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baraka, Mostafa M</au><au>Sallam, Haitham E</au><au>Abdelwahab, Mahmoud M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Periacetabular osteotomy: A novel application of modified Stoppa approach</atitle><jtitle>SICOT-J</jtitle><addtitle>SICOT J</addtitle><date>2022</date><risdate>2022</risdate><volume>8</volume><spage>33</spage><pages>33-</pages><issn>2426-8887</issn><eissn>2426-8887</eissn><abstract>The Bernese periacetabular osteotomy (PAO) is a well-established procedure for symptomatic hip dysplasia in adolescents and young adults. However, it remains a technically demanding procedure, and several major complications have been described, many of which are related to the approach and surgical exposure. The current study evaluates the efficacy and safety of PAO performed through a modified Stoppa approach. A prospective series of nine consecutive patients with hip dysplasia were treated PAO through the modified Stoppa approach. The mean age was 22.4 years (15-30 years) and the mean follow-up was 3.2 years (2-5 years). Harris hip score (HHS) was used as a functional score, and the radiographic indices included the lateral center-edge angle (LCEA) and Tönnis roof angle. The approach allowed the osteotomy lines to be performed under direct visualization from the intra-pelvic surface of the acetabulum, aided by fluoroscopy. A lateral window was added to perform the final iliac cut and for subsequent mobilization and fixation of the acetabular fragment. The mean HHS improved significantly from 70.8 ± 4.9 points to 90.1 ± 3.3 points (p &lt; 0.001). The mean LCEA improved from 8.2° ± 4.9 (range: 0-14) to 32.7° ± 5.3 (range: 26-40), with a mean improvement of 24.5°. The mean Tönnis angle improved from 28.4° ± 4.4 (range: 22-35) to 3.8° ± 3.3 (range: 0-10). Two patients had irritation from prominent screw heads that necessitated removal 1 year after the index procedure. One patient had radiographic progression of osteoarthritis. No cases of infection, non-union, heterotopic ossification, or nerve palsy were identified till the latest follow-up. Ganz PAO can be safely conducted through the modified Stoppa approach, providing direct exposure to the osteotomized surfaces, and protecting susceptible neuro-vascular structures. IV.</abstract><cop>France</cop><pub>EDP Sciences</pub><pmid>35969124</pmid><doi>10.1051/sicotj/2022035</doi><orcidid>https://orcid.org/0000-0003-0515-4327</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2426-8887
ispartof SICOT-J, 2022, Vol.8, p.33
issn 2426-8887
2426-8887
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_6a58af4a100e48c1afdd1bb58f2675d5
source NCBI_PubMed Central（免费）
subjects anterior intrapelvic approach
ganz osteotomy
Hip
hip dysplasia
modified stoppa approach
Original
periacetabular osteotomy
title Periacetabular osteotomy: A novel application of modified Stoppa approach
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T14%3A39%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Periacetabular%20osteotomy:%20A%20novel%20application%20of%20modified%20Stoppa%20approach&rft.jtitle=SICOT-J&rft.au=Baraka,%20Mostafa%20M&rft.date=2022&rft.volume=8&rft.spage=33&rft.pages=33-&rft.issn=2426-8887&rft.eissn=2426-8887&rft_id=info:doi/10.1051/sicotj/2022035&rft_dat=%3Cproquest_doaj_%3E2702484739%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c386t-70df39e3de6ad960d52dfece345c123b585af7fec0a2d474a4e6f4428bf6cf4b3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2702484739&rft_id=info:pmid/35969124&rfr_iscdi=true