Bernese periacetabular osteotomy (PAO): from its local inception to its worldwide adoption
Abstract The development of the Bernese periacetabular osteotomy (PAO) is based on a structured approach starting with an analysis of the preexisting procedures to improve the coverage of the femoral head and was followed by a list of additional goals and improvements. Cadaveric dissections with a d...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-11-01
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| Series: | Journal of Orthopaedics and Traumatology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s10195-023-00734-2 |
| _version_ | 1797636746515578880 |
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| author | Reinhold Ganz Michael Leunig |
| author_facet | Reinhold Ganz Michael Leunig |
| author_sort | Reinhold Ganz |
| collection | DOAJ |
| description | Abstract The development of the Bernese periacetabular osteotomy (PAO) is based on a structured approach starting with an analysis of the preexisting procedures to improve the coverage of the femoral head and was followed by a list of additional goals and improvements. Cadaveric dissections with a detailed description of the vascular supply of acetabulum and periacetabular bone set the stage for an intrapelvic approach, which offered the largest acetabular correction possible combined with safe intracapsular access. The final composition of osteotomies required the development of several instruments and cutting devices before the feasibility could be tested on a series of cadaveric hips. While the sequence of the osteotomies remained largely unchanged over time (except for the pubic and ischial osteotomies), several propositions for an easier/less invasive approach have been discussed; some made it into standard practice. Efforts were undertaken to optimize the learning curve and minimize failures using video-clips, hands-on courses, fellowships, publications, and ongoing mentoring programs. In retrospect, with almost 40 years of experience, such efforts have promoted a worldwide adoption of the Bernese periacetabular osteotomy. |
| first_indexed | 2024-03-11T12:38:33Z |
| format | Article |
| id | doaj.art-433f57c0409d4a2fa35f806a8642337a |
| institution | Directory Open Access Journal |
| issn | 1590-9999 |
| language | English |
| last_indexed | 2024-03-11T12:38:33Z |
| publishDate | 2023-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of Orthopaedics and Traumatology |
| spelling | doaj.art-433f57c0409d4a2fa35f806a8642337a2023-11-05T12:26:29ZengSpringerOpenJournal of Orthopaedics and Traumatology1590-99992023-11-0124111810.1186/s10195-023-00734-2Bernese periacetabular osteotomy (PAO): from its local inception to its worldwide adoptionReinhold Ganz0Michael Leunig1Faculty of Medicine, Dept. Orthopaedics, University of Berne, Murtenstrasse 11, 3008Department of Hip and Knee Surgery, Schulthess Clinic ZurichAbstract The development of the Bernese periacetabular osteotomy (PAO) is based on a structured approach starting with an analysis of the preexisting procedures to improve the coverage of the femoral head and was followed by a list of additional goals and improvements. Cadaveric dissections with a detailed description of the vascular supply of acetabulum and periacetabular bone set the stage for an intrapelvic approach, which offered the largest acetabular correction possible combined with safe intracapsular access. The final composition of osteotomies required the development of several instruments and cutting devices before the feasibility could be tested on a series of cadaveric hips. While the sequence of the osteotomies remained largely unchanged over time (except for the pubic and ischial osteotomies), several propositions for an easier/less invasive approach have been discussed; some made it into standard practice. Efforts were undertaken to optimize the learning curve and minimize failures using video-clips, hands-on courses, fellowships, publications, and ongoing mentoring programs. In retrospect, with almost 40 years of experience, such efforts have promoted a worldwide adoption of the Bernese periacetabular osteotomy.https://doi.org/10.1186/s10195-023-00734-2Hip joint preservation surgeryPeriacetabular osteotomyPAOBernese PAOPelvic osteotomy history |
| spellingShingle | Reinhold Ganz Michael Leunig Bernese periacetabular osteotomy (PAO): from its local inception to its worldwide adoption Journal of Orthopaedics and Traumatology Hip joint preservation surgery Periacetabular osteotomy PAO Bernese PAO Pelvic osteotomy history |
| title | Bernese periacetabular osteotomy (PAO): from its local inception to its worldwide adoption |
| title_full | Bernese periacetabular osteotomy (PAO): from its local inception to its worldwide adoption |
| title_fullStr | Bernese periacetabular osteotomy (PAO): from its local inception to its worldwide adoption |
| title_full_unstemmed | Bernese periacetabular osteotomy (PAO): from its local inception to its worldwide adoption |
| title_short | Bernese periacetabular osteotomy (PAO): from its local inception to its worldwide adoption |
| title_sort | bernese periacetabular osteotomy pao from its local inception to its worldwide adoption |
| topic | Hip joint preservation surgery Periacetabular osteotomy PAO Bernese PAO Pelvic osteotomy history |
| url | https://doi.org/10.1186/s10195-023-00734-2 |
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