Abstract：Objective Periacetabular osteotomy (PAO) is widely used in the treatment of young and middle-aged patients with developmental dysplasia of the hip (DDH) as a reconstruction surgery of the pelvis. This article proves that PAO is a suitable method for young and middle-aged patients through discussing the selection criteria of patients, operation results and troubles in the operation.Methods literatures from January 1988 to May 2014 in PubMed with the key words periacetabular osteotomy or PAO and DDH. Literatures about patients′ selection criteria, operation results and the troubles in the surgery were selected from all the literatures. Based on the review of them, we analyzed the prognosis caused by selection criteria of patients, operation results and troubles in the surgery.Results Before the operation, the articular cartilage conditions and the hip joint deformity were evaluated by radiographic images, the hip joint function was evaluated by physical examination. The reasonable position of the bone fragment and additional operations were chosen in the surgery. The reasonable postoperative exercise was selected. The satisfactory results can be obtained in DDH patients by treating with PAO.Conclusions PAO is one of the effective means to treat young and middle-aged DDH patients.
李政,陈晓东. 髋臼周围截骨治疗髋关节发育不良的研究进展[J]. 中华解剖与临床杂志, 2015, 20(3): 269-271.
Li Zheng, Chen Xiaodong. Periacetabular osteotomy for developmental dysplasia of the hip. Chinese Journal of Anatomy and Clinics, 2015, 20(3): 269-271.
Ganz R, Klaue K, Vinh TS, et al. A new periacetabular osteotomy for the treatment of hip dysplasias. Technique and preliminary results[J]. Clin Orthop Relat Res, 2004, (418): 3-8.
[2]
Trousdale RT, Ekkernkamp A, Ganz R, et al. Periacetabular and intertrochanteric osteotomy for the treatment of osteoarthrosis in dysplastic hips[J]. J Bone Joint Surg Am, 1995, 77(1): 73-85.
[3]
Sen C, Asik M, Tozun IR, et al. Kotz and Ganz osteotomies in the treatment of adult acetabular dysplasia[J]. Int Orthop, 2003, 27(2): 78-84.
[4]
Biedermann R, Donnan L, Gabriel A, et al. Complications and patient satisfaction after periacetabular pelvic osteotomy[J]. Int Orthop, 2008, 32(5): 611-617.
[5]
Clohisy JC, Barrett SE, Gordon JE, et al. Periacetabular osteotomy for the treatment of severe acetabular dysplasia[J]. J Bone Joint Surg Am, 2005, 87(2): 254-259.
[6]
Matta JM, Stover MD, Siebenrock K. Periacetabular osteotomy through the Smith-Petersen approach[J]. Clin Orthop Relat Res, 1999, (363): 21-32.
[7]
Cunningham T, Jessel R, Zurakowski D, et al. Delayed gadolinium-enhanced magnetic resonance imaging of cartilage to predict early failure of Bernese periacetabular osteotomy for hip dysplasia[J]. J Bone Joint Surg Am, 2006, 88(7): 1540-1548.
[8]
Ito H, Tanino H, Yamanaka Y, et al. Intermediate to long-term results of periacetabular osteotomy in patients younger and older than forty years of age[J]. J Bone Joint Surg Am, 2011, 93(14): 1347-1354.
[9]
Siebenrock KA, Schll E, Lottenbach M, et al. Bernese periacetabular osteotomy.[J]. Clin Orthop Relat Res, 1999, (363): 9-20.
[10]
Millis MB, Kain M, Sierra R, et al. Periacetabular osteotomy for acetabular dysplasia in patients older than 40 years: a preliminary study[J]. Clin Orthop Relat Res, 2009, 467(9): 2228-2234.
[11]
Teratani T, Naito M, Kiyama T, et al. Periacetabular osteotomy in patients fifty years of age or older: surgical technique[J]. J Bone Joint Surg Am, 2011, 93(Suppl 1): 30-39.
[12]
Murphy S, Deshmukh R. Periacetabular osteotomy: preoperative radiographic predictors of outcome[J]. Clin Orthop Relat Res, 2002, (405): 168-174.
[13]
Garbuz DS, Awwad MA, Duncan CP. Periacetabular osteotomy and total hip arthroplasty in patients older than 40 years[J]. J Arthroplasty, 2008, 23(7): 960-963.
[14]
Hsieh PH, Huang KC, Lee PC, et al. Comparison of periacetabular osteotomy and total hip replacement in the same patient: a two-to ten-year follow-up study[J]. J Bone Joint Surg Br, 2009, 91(7): 883-888.
[15]
Clohisy JC, Schutz AL, St John L, et al. Periacetabular osteotomy. A systematic literature review[J]. Clin Orthop Relat Res, 2009, 467(8): 2041-2052.
[16]
Clohisy JC, Nunley RM, Curry MC, et al. Periacetabular osteotomy for the treatment of acetabular dysplasia associated with major aspherical femoral head deformities[J]. J Bone Joint Surg Am, 2007, 89(7): 1417-1423.
[17]
Peters CL, Erickson JA. Treatment of femoro-acetabular impingement with surgical dislocation and debridement in young adults[J]. J Bone Joint Surg Am, 2006, 88(8): 1735-1741.
[18]
MacDonald SJ, Hersche O, Ganz R. Periacetabular osteotomy in the treatment of neurogenic acetabular dysplasia[J]. J Bone Joint Surg Br, 1999, 81(6): 975-978.
[19]
Polkowski GG, Novais EN, Kim YJ, et al. Does previous reconstructive surgery influence functional improvement and deformity correction after periacetabular osteotomy[J]. Clin Orthop Relat Res, 2012, 470(2): 516-524.
[20]
De La Rocha A, Sucato DJ, Tulchin K, et al. Treatment of adolescents with a periacetabular osteotomy after previous pelvic surgery[J]. Clin Orthop Relat Res, 2012, 470(9): 2583-2590.
[21]
Baqué F, Brown A, Matta J. Total hip arthroplasty after periacetabular osteotomy[J]. Orthopedics, 2009, 32(6): 399.
2015, Vol. 20 
