Pediatric Pelvic and Proximal Femoral Osteotomies. A Case-Based Approach

Preoperative Planning for Pelvic and/or Proximal Femoral Osteotomies.- Radiologic Evaluation of the Adolescent Hip.- Part I: Pediatric Pelvic Osteotomies.- Salter Innominate Osteotomy.- Single Anterior Incision Steel Triple Pelvic Osteotomy.- Pol le C÷ur Triple Pelvic Osteotomy.- Toennis Triple Pelvic Osteotomy.- Bernese Peri-acetabular Osteotomy.- Periacetabular Osteotomy: Groin Incision-Assisted Approach.- Perioacetabular Osteotomy for Adolescent Neuromuscular Hip Dysplasia-Cerebral Palsy.- Hip Instability in Adolescent/Young Adult Down Syndrome.- San Diego Osteotomy (Lateral Acetabuloplasty).- Pemberton Osteotomy (Anterolateral Acetabuloplasty).- Pembersal Osteotomy.- Acetabuloplasty in Closed Triradiate Cartilage.- Shelf Acetabuloplasty Using Inner Table of Iliac Bone Graft.- Chiari Pelvic Osteotomy.- Pelvic Osteotomy for Bladder Exstrophy.- Pelvic Osteotomy for Spinal Deformities.- Part II: Pediatric Proximal Femoral Osteotomies.- Varus Derotation Osteotomy.- McHale Procedure in Patients with Neglected Hip Dislocation.- Valgus Osteotomy (Without Head Resection) for Chronic Neuromuscular Hip Dislocation.- Percutaneous Proximal Femoral Osteotomy with External Fixator for Chronically Dislocated Hips in Patients with Cerebral Palsy.- Flexion-Valgus Intertrochanteric Osteotomy for Late Slipped Capital Femoral Epiphysis Deformity.- Combined Osteotomy and Osteoplasty for Healed Slipped Capital Femoral Epiphysis Deformity.- Modified Dunn Procedure for Unstable Slipped Capital Femoral Epiphysis.- Morscher Osteotomy.- Shepherd's Crook Deformity.- Coxa Vara in Osteogenesis Imperfecta.- Proximal Femoral Reorientational Osteotomies for the Hip Deformities in Children with Arthrogryposis Multiplex Congenita.- Part III Combined/Miscellaneous Osteotomies and Procedures Around the Hip Joint.- Combined Pinning and Arthroscopic Osteoplasty for Stable Slipped Capital Femoral Epiphysis.- Osteochondroplasty and Acetabular Rim Trimming by Surgical Hip Dislocation for Femoroacetabular Impingement.- Unstable Hip in a Child with Down Syndrome.- Proximal Femoral Head Resection and Interpositional Arthroplasty.- Pelvic Support Osteotomy.- SUPERhip and SUPERhip2 Procedures for Congenital Femoral Deficiency.- Hip Arthrodesis Using Surgical Hip Dislocation and Subtrochanteric Osteotomy.- Combined Periacetabular and Proximal Femoral Osteotomies for Healed Perthes.- Femoral Head Reduction Osteotomy.- Articulated Hip Joint Distraction.

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, Toennis, 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.

Reggie C. Hamdy, MB, MSc (Ortho), FRCS(C), Division of Orthopedic Surgery, McGill University Health Centre, The Montreal Children's Hospital, Shriners Hospital for Children-Canada, Montreal, QC, Canada

Neil Saran, MD, MHSc (Clin. Epi.), FRCS(C), Division of Orthopedic Surgery, McGill University Health Centre, The Montreal Children's Hospital, Shriners Hospital for Children-Canada, Montreal, QC, Canada