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    "description": "ObjectiveA dysplastic acetabulum inadequately covering the femoral head is freed from the bony pelvis through several osteotomy cuts close to the joint, properly positioned and fixed with three screws.IndicationsSymptomatic acetabular dysplasia with closed physes.Osteoarthritis T\u00f6nnis stage \u22642.Improved coverage on abduction view.ContraindicationsDislocation.Neoacetabulum.Worsening of congruence in abduction.Osteoarthritis T\u00f6nnis stage 3.Surgical TechniqueModified Smith-Petersen approach. Incomplete osteotomy of the ischial ramus. Complete osteotomy of the pubic ramus. Supra- and retroacetabular osteotomies: perpendicular osteotomy directly below the anterosuperior iliac spine ending short of the linea terminalis, continuing in direction of the ischial spine. Osteotomy 4 cm below the linea terminalis, connecting to the ischial osteotomy. Mobilization and reorientation. Radiographic control. Anterior capsulotomy: check for labral and chondral pathology, and impingement. Fixation with three 3.5-mm cortical screws. Reconstruction of the detached structures.No cast or orthosis. Touch weight bearing for 8 weeks, then abductor strengthening.ResultsOf the first 63 patients, 60 (71 hips) were followed for 10\u201314 years. 58 hip joints were still preserved (82%), and function was excellent to good in 52 (73%). Negative prognostic factors were advanced age, osteoarthritis, and insufficient correction.", 
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        "name": "Orthopaedics & Traumatology Surgery & Research", 
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      "Bernese periacetabular osteotomy", 
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    "name": "The Bernese periacetabular osteotomy", 
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