Pemberton Osteotomy for Developmental Dysplasia of the Hip in Older Children

The authors reviewed the results of the Pemberton osteotomy as treatment of developmental dysplasia of the hip in 17 hips treated after 7 years of age. Twelve hips required one or more concomitant surgical procedures. The average age at the time of the osteotomy was 9.3 years, and the average follow-up was 9.4 years. Using modified McKay's clinical criteria, 14 hips were classified as excellent or good. Using Severin's radiographic classification, 13 hips met class I-II criteria. Two patients who preoperatively showed Kalamchi and MacEwen's group IV severe avascular necrosis, plus two patients whose necessary acetabular coverage was not achieved by the Pemberton osteotomy without femoral varus osteotomy, were found to meet Severin's class III-IV criteria. Pemberton osteotomy can be an effective procedure for older children in whom progressive acetabular development is not expected, although this osteotomy may have to be combined with other operative procedures.

[1]  P. Stevens,et al.  Use of Allografts in Pemberton Osteotomies , 2001, Journal of pediatric orthopedics.

[2]  D. Wenger,et al.  Pelvic osteotomies for the treatment of hip dysplasia in children and young adults. , 1999, The Journal of the American Academy of Orthopaedic Surgeons.

[3]  P. Schoenecker,et al.  Pemberton osteotomy for the treatment of developmental dysplasia of the hip in older children. , 1998, Journal of pediatric orthopedics.

[4]  K. Szepesi,et al.  Pemberton's pericapsular osteotomy for the treatment of acetabular dysplasia. , 1996, Journal of pediatric orthopedics. Part B.

[5]  T. Faciszewski,et al.  Pemberton osteotomy for residual acetabular dysplasia in children who have congenital dislocation of the hip. , 1993, The Journal of bone and joint surgery. American volume.

[6]  Shiqing Xin,et al.  Results of the Kalamchi Modification of Salter Osteotomy in the Treatment of Developmental Dysplasia of the Hip , 1992, Journal of pediatric orthopedics.

[7]  G. Macewen,et al.  Avascular necrosis following treatment of congenital dislocation of the hip. , 1980, The Journal of bone and joint surgery. American volume.

[8]  K Mose,et al.  Methods of measuring in Legg-Calvé-Perthes disease with special regard to the prognosis. , 1980, Clinical orthopaedics and related research.

[9]  D. Jones,et al.  Pemberton's acetabuloplasty for congenital dislocation or subluxation of the hip. , 1978, The Journal of bone and joint surgery. British volume.

[10]  D. McKay.  A comparison of the innominate and the pericapsular osteotomy in the treatment of congenital dislocation of the hip. , 1974, Clinical orthopaedics and related research.

[11]  S. Coleman.  The incomplete pericapsular (Pemberton) and innominate (Salter) osteotomies; a complete analysis. , 1974, Clinical orthopaedics and related research.

[12]  P. A. Pemberton.  PERICAPSULAR OSTEOTOMY OF THE ILIUM FOR TREATMENT OF CONGENITAL SUBLUXATION AND DISLOCATION OF THE HIP. , 1965, The Journal of bone and joint surgery. American volume.

[13]  I. Sharp.  ACETABULAR DYSPLASIA: The Acetabular Angle , 1961 .

[14]  G. Wiberg,et al.  Studies on dysplastic acetabula and congenital subluxation of the hip joint : with special reference to the complication of osteoarthritis , 1939 .