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Endoscopic Pelvic Osteotomy for the Treatment of Hip Dysplasia

Dr. Wall is Director of Sports Medicine, Division of Orthopaedic Surgery, Children’s Hospital Medical Center, Cincinnati, Ohio. Dr. Kolata is Research Fellow, Ethicon Endo-Surgery, Cincinnati. Dr. Roy is Associate Director of Pediatric Orthopaedic Surgery and Director of the Hip Service, Children’s Hospital Medical Center. Dr. Mehlman is Director of Musculoskeletal Outcomes Research, Children’s Hospital Medical Center. Dr. Crawford is Director of Pediatric Orthopaedic Surgery, Children’s Hospital Medical Center.

Reprint requests: Dr. Wall, Department of Orthopaedic Surgery, Children’s Hospital Medical Center, 3333 Burnett Avenue, Cincinnati, OH 45229.

Adolescent and adult hip dysplasia can be surgically treated by rotating the acetabulum into a better weight-supporting position; however, open pelvic osteotomies are among the most invasive of all pediatric orthopaedic procedures. Endoscopic pelvic osteotomy offers the theoretical advantages of magnified visualization of the bone cuts, minimized surgical dissection, and rapid postoperative recovery. The technique of endoscopically assisted triple innominate osteotomy requires the combination of endoscopic skills and facility with more standard surgical approaches.