Pediatric Pelvic and Proximal Femoral Osteotomies

Book excerpt: This unique, case-based text offers a comprehensive discussion of pelvic and proximal femoral osteotomies in the pediatric population. Beginning with chapters on preoperative planning and radiologic evaluation of the adolescent hip, subsequent chapters are sensibly divided into three thematic sections, which use a consistent chapter format presenting the case history, relevant imaging, treatment goals, the management strategy, and clinical pearls and pitfalls. Part I describes the various pediatric pelvic osteotomies, including the Salter, Pol de Coeur, Tönnis, Pemberton, and San Diego approaches, among others. Pediatric proximal femoral osteotomies comprise part II, presenting the McHale procedure, varus and valgus osteotomies, Morscher osteotomy, and Shepherd’s Crook deformity, to name just a few. The final section covers combined and miscellaneous osteotomies and procedures for the pediatric hip, such as osteochondroplasty, hip instability, hip arthrodesis, and SUPERhip and SUPERhip2 procedures for congenital femoral deficiency. Each chapter is generously illustrated and includes a handy table of indications and contraindications for the procedure described. In infancy, childhood and adolescence, the hip joint is very susceptible to abnormalities (congenital or acquired) that may lead to morphological alterations with potential sequelae, specifically pain and difficulty to ambulate, sit and perform daily activities. Restoring normal anatomy and biomechanics of the hip joint by various pelvic and/or proximal femoral osteotomies remains the cornerstone in the management of these conditions. To this end, Pediatric Pelvic and Proximal Femoral Osteotomies will be an invaluable resource for all pediatric orthopedic surgeons, trainees and students both in the medical and paramedical field.