J Korean Orthop Assoc.  1976 Jun;11(2):174-179. 10.4055/jkoa.1976.11.2.174.

Triple Osteotomy of the Innominate Bone: Experlence with an adult Paralytie Hip

• Lee DY
• Chun SY
• Cho HO

• KMID: 2461321
• DOI: http://doi.org/10.4055/jkoa.1976.11.2.174

Abstract

In the treatment of dislocations and subluxations of the hip in the older children, whether congenital or paralytic, orthopedic surgeons are blessed with a wide variety of commonly used surgical procedures; namely, Salters innominate osteotomy, acetabtloplasties, Pembertons pericapsular osteotomy, shelf operations, Chiaris pelvic displacement osteotomy. and Colonnas capsular arthroplasty. However, with increasing age and soft tissue contractures,these procedures become ineffective, leaving a wide range of age between older children and young adults subject to uncertain or unfavarable prognosis. Steels triple osteotomy (1973) is aimed at coverig this age group, when displacement or in nominate osteotomy is either technically infeasible or likely to fail. It consists of an open reduction with or without soft tissue release and skeletal traction, redirection of the acetabulum to cover the femoral head by osteotonmies of the pelvis that has lost its young cartilagenous resiliency, and preservation and physiological remodelling of the articular cartilage of the acetabulum. We performed Steels osteotomy on a 21-years-old female with a severe paralytic subluxation of the hip associated with pelvic obliquity and paralytized both lower extremities. One and a half year follow-up result was satisfactory with a stable and congruous joint despite paralysis and with the patient walking for the first time in her life.

MeSH Terms

Acetabulum
Adult*
Arthroplasty
Cartilage, Articular
Child
Dislocations
Female
Follow-Up Studies
Head
Hip*
Humans
Joints
Lower Extremity
Orthopedics
Osteotomy*
Paralysis
Pelvic Bones*
Pelvis
Prognosis
Steel
Surgeons
Traction
Walking
Young Adult
Steel