Pelvic osteotomy in children
Pelvic osteotomy is a surgical procedure aimed at correcting deformities of the hip joint caused by congenital abnormalities, hip dysplasia, or post-traumatic changes. The operation restores the anatomical orientation of the pelvic bones, improves joint stability, and helps prevent the early development of osteoarthritis.
Indications for pelvic osteotomy in children
- Developmental dysplasia of the hip.
- Hip dislocation and subluxation.
- Post-traumatic deformities of the pelvis or acetabulum.
- Impaired centration of the femoral head within the hip joint.
- Avascular necrosis of the femoral head (Legg–Calvé–Perthes disease).
Preoperative diagnostic assessment
- Hip joint X-ray. Assesses the degree of dysplasia and bony deformity.
- MRI and CT. Provide detailed visualization of bone and cartilage structures.
- Joint ultrasound. Evaluates soft tissues and the degree of femoral head decentration.
- Orthopedic clinical examination. Analysis of gait, joint range of motion, and femoral neck angles.
Types of pelvic osteotomy in pediatric patients
- Salter innominate osteotomy. Commonly used for correction of dysplasia in children older than 18 months.
- Periacetabular osteotomy (Ganz osteotomy). Allows reorientation of the acetabulum to improve femoral head coverage.
- Double or triple pelvic osteotomy. Indicated for severe deformities requiring extensive correction.
- Pemberton pericapsular osteotomy. Used in children with pronounced dysplastic changes of the acetabulum.
How the operation is performed
- Preoperative preparation. The child undergoes comprehensive assessment and an individualized surgical plan is developed.
- Surgical correction. The surgeon performs controlled bone cuts, repositions the pelvic segment, and fixes it with plates or screws.
- Postoperative care. The limb is immobilized with a cast or orthosis, followed by a structured rehabilitation program.
Rehabilitation after pelvic osteotomy
- First 6 weeks: protective regimen with restricted weight-bearing.
- Physiotherapy, massage, and therapeutic exercise (physical therapy).
- Gradual restoration of mobility and functional loading.
- Follow-up radiographic imaging to monitor bone healing.
Advantages of modern surgical techniques
- Minimally invasive approaches reduce rehabilitation time.
- Modern fixation systems provide reliable stabilization.
- Comprehensive rehabilitation accelerates functional recovery.
- The procedure helps prevent early hip osteoarthritis (coxarthrosis).
Advantages of pelvic osteotomy in children in Belarus
In Belarus, pelvic osteotomy is performed in leading orthopedic centers using modern diagnostic tools, advanced surgical techniques, and structured rehabilitation protocols. Procedures are carried out by experienced pediatric orthopedic surgeons, allowing restoration of joint function and reduction of long-term complications.
This text has been translated using machine translation technology (DeepL API) and may contain inaccuracies.
