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Comparison of three approaches of Bernese periacetabular osteotomy

Authors Luo DZ, Zhang H, Zhang WJ

Received 30 January 2015

Accepted for publication 20 May 2015

Published 12 January 2016 Volume 2016:12 Pages 67—72

DOI https://doi.org/10.2147/TCRM.S81914

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Professor Deyun Wang

Dianzhong Luo, Hong Zhang, Weijia Zhang

Division of Joint Surgery and Sport Medicine, Department of Orthopaedics, First Affiliated Hospital of Chinese PLA General Hospital, Beijing, People’s Republic of China

Background: Developmental dysplasia of the hip is a common disease and treated with various surgical approaches. Improved ilioinguinal (I-I) approach, two-incision Smith-Peterson (TSP) approach, and modified Smith-Peterson (MSP) approach are three main approaches; however, they are rarely compared. The present study compared the operative time, blood loss, intraoperative and postoperative allogeneic blood transfusion, and postoperative complications of these three different approaches.
Hypothesis:
Surgical approach does not influence the operation time, blood loss, and complications of periacetabular osteotomy.
Level of evidence:
Level III. Case–control study.
Patients and methods: In a total of 101 hips of 95 cases, from February 2010 to July 2011, three different approaches of Bernese periacetabular osteotomy, I-I, TSP, and MSP, were conducted. The operation time, intraoperative bleeding, allogeneic blood transfusion, and early complications in different operation approaches were compared by a retrospective study when there were similar ages, genders, and lesions.
Results: Among the three approaches, I-I had less operation time and more blood loss (P<0.05), TSP had less blood loss (P<0.05) but more complications, and MSP had less blood loss (P<0.05) and less complications.
Discussion: The MSP approach is superior to the other two approaches in doing periacetabular osteotomy.

Keywords: periacetabular osteotomy, operation approaches, complications

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