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Surgical Anatomy of the Rectus-Sparing Approach for Periacetabular Osteotomy
Author(s) -
Morteza Kalhor,
Jaber Gharehdaghi,
Michael Leunig,
Javad Ahmadloo,
Diego Collado Gastalver,
Reinhold Ganz
Publication year - 2021
Publication title -
jbjs essential surgical techniques
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 7
ISSN - 2160-2204
DOI - 10.2106/jbjs.st.20.00030
Subject(s) - medicine , inguinal ligament , dissection (medical) , iliopsoas , surgery , osteotomy , rectus femoris muscle , anterior superior iliac spine , osteoplasty , anatomy , femoral nerve , electromyography , psychiatry
The Bernese periacetabular osteotomy (PAO) is a widely used technique for the management of acetabular dysplasia and other hip deformities in adolescents and young adults. Originally, the approach was described with a release of both origins of the rectus femoris muscle 1 . In the more recently described rectus-sparing approach, both heads remain attached 2,3 . It has been proposed that this modification may decrease pain, ease postoperative rehabilitation, and avoid heterotopic ossifications, without limitations of the surgical overview.