This 1999 narrative review from JAAOS systematically describes pelvic osteotomy options for acetabular dysplasia in children and young adults, examining the biomechanical rationale for intervention and providing an age-based, reducibility-based algorithm for procedure selection across the redirectional, reshaping, and salvage categories.
When you encounter a dysplastic hip, let age and triradiate cartilage status drive your osteotomy choice: Salter or Pemberton for ages 2–10 with a congruent joint, triple innominate for older children with open triradiate, and Ganz periacetabular osteotomy once the triradiate is closed — reserving Chiari or shelf procedures only when congruent reduction cannot be achieved.
This 1999 narrative review from JAAOS systematically describes pelvic osteotomy options for acetabular dysplasia in children and young adults, examining the biomechanical rationale for intervention and providing an age-based, reducibility-based algorithm for procedure selection across the redirectional, reshaping, and salvage categories.
When you encounter a dysplastic hip, let age and triradiate cartilage status drive your osteotomy choice: Salter or Pemberton for ages 2–10 with a congruent joint, triple innominate for older children with open triradiate, and Ganz periacetabular osteotomy once the triradiate is closed — reserving Chiari or shelf procedures only when congruent reduction cannot be achieved.