Draft:Periacetabular osteotomy: Difference between revisions

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{{Short description|Periacitabular Osteotomy Surgery (PAO)}}
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Revision as of 03:44, 25 March 2024


X-ray of the hips post-PAO surgery on the right hip. There are 4 screws mounting the affected acetabulum in place.

Periacetabular osteotomy is a orthopedic surgical procedure performed on individuals with deformities in their hip joints. Such deformities are most often due to hip dysplasia, Legg-Calve Perthes disease, femeroacetabular impingement, or slipped capital femoral epiphysis.[1] As it is less invasive and typically easier to recover from than a total hip replacement, PAO is typically performed on younger patients (on average under 40) who do not have significant cartilage damage or labral tears.[2]


Procedure

When a periacetabular osteotomy is performed, patients are placed under anesthesia, as the surgery typically lasts between 6 and 9 hours. An incision is made, roughly 6 to 8 inches long, along the side of the hip. Then, the surgeon uses x-ray (fluoroscopy) guidance to cut through the pubic bone, the Ilium, and the Ischium. After these cuts are made, the acetabulum is reoriented to a healthy angle and fixed in place using screws and, if needed, bone grafts. Finally, the incision is stitched closed, and the patient is sent to recovery.[3]


References

  1. ^ "Periacetabular Osteotomy (PAO) | University of Utah Health". healthcare.utah.edu. 2021-04-06. Retrieved 2024-03-25.
  2. ^ "Periacetabular Osteotomy: An Overview - HSS". Hospital for Special Surgery. Retrieved 2024-03-25.
  3. ^ Limited, Fracture and Orthopaedic Clinic. "Periacetabular Osteotomy (PAO) | Fracture And Orthopaedic Clinic Limited". www.faoconline.com. Retrieved 2024-03-25.