Type of Surgery
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Last updated: 11/24/2009
The incidence of hip dysplasia is four per 1,000 live births in the general world population, although it occurs much more frequently in Lapps and Native Americans. In addition, the condition tends to run in families and is more common among girls and firstborns. Acetabular dysplasia patients are usually in their late teens to early thirties, with the female: male ratio in the United States being 5:1.
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The hip is responsible for a broad range of movement despite being subjected to tremendous forces. Sports can cause a number of hip disorders such as bursitis and overuse injuries. A physician for LPGA golfers explains various sports-related hip injuries.
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An osteotomy is a surgical operation whereby a bone is cut to shorten, lengthen, or change its alignment. It is sometimes performed to correct a hallux valgus, or to straighten a bone that has healed crookedly following a fracture. It is also used to correct a coxa vara, genu valgum, and genu varum. The operation is done under a general anaesthetic.
Two main types of osteotomies are used in the correction of hip dysplasias and deformities to improve alignment/interaction of acetabulum - (socket) - and femoral head (femur head) - (ball), innominate osteotomies and femoral osteotomies. The bones are cut, reshaped or partially removed to realign the load bearing surfaces of the joint.
Adjustments are made to part of the hip-bone. Many operating methods and variations have been developed. They are defined by the type of cut and adjustment made Some acetabular procedures are named after the surgeons who first described them as Salter (R. Salter), Dega (W. Dega), Sutherland (D.H. Sutherland), Chiari (K. Chiari): other names one may encounter are Ludlov, P. Pemberton, and James B. Steele. Some are named after the shape of cut (e.g. Chevron, Wedge) or the way the bones are aligned (Dial=old style rotary dial phone).
Femoral osteotomies, as the name indicates, involves adjustments made to the femur head and/or the femur.
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New procedures like minimally invasive procedures are often subject to scrutiny, but I think that one of the biggest problems facing these innovative procedures is for people to understand exactly what we do.
-Dr. Michael Perry, Laser Spine institute
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