Pelvic and Femoral Osteotomies
What is hip preservation surgery: pelvic and femoral osteotomies?
The acetabulum is the curved part of the pelvis that forms the hip socket and accepts the head of the femur bone. In most cases, these two bones fit together well. If something is causing the femur to pop loose or not rotate well in the socket, then a pelvic and femoral osteotomy may be the procedures needed to fix the problem.
What happens during the procedure?
In some cases, only a pelvic osteotomy is required. This involves cutting away bone in order to reposition the acetabulum in the pelvis. It is then held in its new position with screws. If a femoral osteotomy is needed, this procedure involves reshaping the femur in order to fit in the pelvis better.
Is any special preparation needed?
The patient may need to avoid food, drink or medication for a set period of time prior to the procedure. Several diagnostic tests are required, as well.
What are the risk factors?
Infection, bleeding, pain, and injury to surrounding organs and tissues are all potential complications of pelvic and femoral osteotomies.
Reviewed by: Michael A Tidwell, MD
This page was last updated on: October 14, 2020 12:24 PM
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Acetabular dysplasia is more commonly known as hip dysplasia. It refers to a hip socket that is shallow and doesn’t fully cover the ball of the femur (hip). The result is excessive mobility or stress on the hip joint that can cause pain.
Congenital Femoral Deficiency
The femur is the upper leg bone that connects the knee to the hip. In some children, a birth defect causes the femur to be shorter than it should be. This lead to other developmental issues, such as deformity and instability of the hip and knee. Congenital femoral deficiency typically impacts just one femur, though it can affect both.