doiSerbia

Chiari pelvic osteotomy in treatment of hip dysplasia

Slavković Nemanja (Medicinski fakultet, Beograd + Institut za ortopedsko­hirurške bolesti „Banjica“, Beograd)
Vukašinović Zoran (Medicinski fakultet, Beograd + Institut za ortopedsko­hirurške bolesti „Banjica“, Beograd)
Apostolović Milan (Medicinski fakultet, Beograd + Institut za ortopedsko­hirurške bolesti „Banjica“, Beograd)
Vukomanović Boris (Institut za ortopedsko­hirurške bolesti „Banjica“, Beograd)

Chiari pelvic osteotomy is a surgical procedure having been performed for almost sixty years in patients with the insuffcient coverage of the femoral head. It is most frequently used in young patients with dysplastic acetabular sockets as a part of developmental hip dysplasia. Even though performance of the Chiari osteotomy is associated with positive therapeutical results, above all, its main goal is to delay inevitable degenerative changes. Original surgical technique has been modified and improved over time. Nevertheless, the basic idea has remained unchanged - increasing of the femoral head coverage by medial displacement of the distal part of the pelvis along with capsular interpositioning. Given the complexity of operation, the complication percentage is rather low. Chiari pelvic osteotomy has lost its actuality and importance during this past six decades. The role of Chiari pelvic osteotomy has been considerably taken over by other more efficient and more lasting surgical procedures. Nonetheless, Chiari pelvic osteotomy is still present in modern orthopedic practice, above all as „salvage“ osteotomy.

Keywords: Chiari osteotomy, joint congruency, hip dysplasia

Projekat Ministarstva nauke Republike Srbije, br. 41004