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CT evaluation of periacetabular osteotomies

F. S. Haddad, BSc, MCh Orth, FRCS Orth, Clinical and Research Fellow; and D. S. Garbuz, MD, FRCS C, Clinical Assistant Professor

Division of Reconstructive Orthopaedics

C. P. Duncan, MD, FRCS C, Professor and Chairman

Department of Orthopaedics

D. L. Janzen, MD, FRCP C, Assistant Professor; and P. L. Munk, MD, FRCP C, Professor

Department of Radiology, Vancouver Hospital and Health Sciences Centre, University of British Columbia, 910 West 10th Avenue, Vancouver, British Columbia V5Z 4E1, Canada.

Correspondence should be sent to Mr F. S. Haddad at 46B Hanover Gate Mansions, Park Road, London NW1 4SN, UK.

We have previously described a simple and reproducible three-dimensional technique of CT for the measurement of the cover of the femoral head in acetabular dysplasia in adults. We now describe the application of this technique in ten patients with symptomatic dysplasia to assess the degree and direction of dysplasia and to measure the cover obtained at acetabular osteotomy.

The indices obtained gave a useful indication of the degree and direction of the dysplasia and confirmed which components had been used most efficiently to achieve cover. The information is easily presented in graphical form and gives a clearer indication of the cover obtained than the indices derived from plain radiographs.




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W. Dandachli, V. Kannan, R. Richards, Z. Shah, M. Hall-Craggs, and J. Witt
Analysis of cover of the femoral head in normal and dysplastic hips: NEW CT-BASED TECHNIQUE
J Bone Joint Surg Br, November 1, 2008; 90-B(11): 1428 - 1434.
[Abstract] [Full Text] [PDF]



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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General