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May 29, 2026Journal of Pediatric Orthopaedics B

Safety and feasibility of the triple pelvic osteotomy combined with acetabuloplasty for adolescent neuromuscular hip dysplasia with a steep acetabulum: a novel modification: a technical note

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Authors

MYMuharrem YaziciChildren's CenterRRRafik RamazanovChildren's CenterUKUlaş Can KolaçHacettepe University

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Implication

Technical note evaluates safety and feasibility of combined surgical approach in adolescents with hip dysplasia.

Key Points

  • This study aims to assess the safety and feasibility of combining triple pelvic osteotomy and acetabuloplasty for treating adolescent neuromuscular hip dysplasia.
  • Five patients with cerebral palsy underwent combined TPO-Dega acetabuloplasty between 2020 and 2023.
  • Radiographic outcomes such as Sharp's angle, depth-width ratio, center-edge angle, and migration index were evaluated.
  • Surgical time, blood loss, and complications were recorded during the study.
  • Sharp's angle improved from 54° to 36°; depth-width ratio increased from 0.12 to 0.24.
  • Center-edge angle changed from -31.4° to 36.2°; migration index decreased from 83% to 0%.
  • No cases of acetabular avascular necrosis or iliac nonunion were observed.

Cite This Study

Yazici et al. (2026) studied this question.

synapsesocial.com/papers/6a192d13fab5b468c4415dd4https://doi.org/10.1097/bpb.0000000000001348
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Triple osteotomy of the pelvis for acetabular dysplasia2005 · 75 citations
  2. 2Management of Hip Disorders in Patients With Cerebral Palsy2002 · 203 citations
  3. 3Surgical Management of Pediatric Developmental Dysplasia of the Hip2016 · 80 citations
  4. 4Hip Surveillance for Children With Cerebral Palsy: A Survey of the POSNA Membership2017 · 35 citations
  5. 5Dega transiliac pelvic osteotomy for developmental hip dysplasia: a systematic review2020 · 8 citations