Periacetabular osteotomy is a joint-preserving procedure that reorients the acetabulum to improve coverage of the femoral head in patients with hip dysplasia.
Indicated for young active patients with symptomatic hip dysplasia and preserved cartilage who are not yet candidates for total hip replacement.
Performed under general anesthesia, typically taking 2 to 4 hours. Cuts are made in the pelvis around the acetabulum to allow repositioning and fixation with screws. Crutches are required for 6 to 8 weeks.
Risks include nerve injury, blood loss, non-union, hardware complications, infection, and the need for future hip replacement.
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