4.1 Article

Recurrent Dislocations and Complete Necrosis: The Role of Pelvic Support Osteotomy

Journal

JOURNAL OF PEDIATRIC ORTHOPAEDICS
Volume 33, Issue -, Pages S45-S55

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/BPO.0b013e318281216b

Keywords

pelvic support osteotomy; Ilizarov hip reconstruction; hip instability

Ask authors/readers for more resources

The basic concepts and goals of pelvic support osteotomy (PSO) are to enhance femoro-pelvic stability by proximal femoral valgus osteotomy and to improve hip biomechanics by displacing the center of gravity medially, which results in an improvement in the mechanical efficiencies of abductor muscles. However, the clinical application of traditional PSO is limited due to its intrinsic shortcomings. Ilizarov designed a modified PSO, so called Ilizarov hip reconstruction (IHR), which incorporated a second distal femoral osteotomy, to realign the knee joint and to correct limb-length discrepancy and proximal femoral valgus osteotomy for pelvic support. IHR remains as a viable option for the salvage of severely damaged hips in the adolescents and young adults in whom arthrodesis or hip arthroplasty is not suitable. The purpose of this article is to briefly review the evolution of PSO and to concentrate on the technical considerations and outcomes of IHR.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.1
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Endocrinology & Metabolism

NovelRPL13Variants and Variable Clinical Expressivity in a Human Ribosomopathy With Spondyloepimetaphyseal Dysplasia

Alice Costantini, Jessica J. Alm, Francesca Tonelli, Helena Valta, Celine Huber, Anh N. Tran, Valentina Daponte, Nadi Kirova, Yong-Uk Kwon, Jung Yun Bae, Woo Yeong Chung, Shengjiang Tan, Yves Sznajer, Gen Nishimura, Tuomas Nareoja, Alan J. Warren, Valerie Cormier-Daire, Ok-Hwa Kim, Antonella Forlino, Tae-Joon Cho, Outi Makitie

Summary: Spondyloepimetaphyseal dysplasias (SEMDs) are a group of heterogeneous disorders affecting the spine and long bone epiphyses and metaphyses. This study identifies RPL13 mutations causing incomplete dominant inheritance and variable skeletal phenotypes. Mutation-positive subjects demonstrated impaired ribosomal function, highlighting the role of eL13 in skeletogenesis.

JOURNAL OF BONE AND MINERAL RESEARCH (2021)

Article Orthopedics

Pseudo-Protrusio Acetabular Deformity in Osteogenesis Imperfecta Patients

Mi Hyun Song, Norazian Kamisan, Chaemoon Lim, Chang Ho Shin, Won Joon Yoo, Hae-Ryong Song, In Ho Choi, Tae-Joon Cho

Summary: This study demonstrates that acetabular deformity is common in OI patients and is associated with disease severity. A considerable number of hips exhibit PPAD, which may not lead to femoroacetabular impingement but can result in anterior uncovering of the hip joint. A superomedial bulging of the iliopectineal line is the most predictive radiographic sign for this pattern of acetabular deformity.

JOURNAL OF PEDIATRIC ORTHOPAEDICS (2021)

Article Genetics & Heredity

Best practice guidelines in managing the craniofacial aspects of skeletal dysplasia

Ravi Savarirayan, David E. Tunkel, Laura M. Sterni, Michael B. Bober, Tae-Joon Cho, Michael J. Goldberg, Julie Hoover-Fong, Melita Irving, Shawn E. Kamps, William G. Mackenzie, Cathleen Raggio, Samantha A. Spencer, Viviana Bompadre, Klane K. White

Summary: The Delphi method was used to develop best practice guidelines for managing the craniofacial aspects of patients with skeletal dysplasia. After comprehensive literature review and discussion, a list of 22 best practice guidelines was generated to provide context and assistance for clinicians in decision making.

ORPHANET JOURNAL OF RARE DISEASES (2021)

Article Genetics & Heredity

Predictors of cervical myelopathy and hydrocephalus in young children with achondroplasia

Youngbo Shim, Jung Min Ko, Tae-Joon Cho, Seung-Ki Kim, Ji Hoon Phi

Summary: This study identified significant predictors for cervical myelopathy and hydrocephalus in young children with achondroplasia, providing important parameters for clinical management. The findings suggest that 'Cord constriction ratio' is a key predictor for cervical myelopathy, while 'Frontal horn width' and 'Posterior indentation' grade are crucial predictors for hydrocephalus, which can guide treatment decisions.

ORPHANET JOURNAL OF RARE DISEASES (2021)

Article Peripheral Vascular Disease

Calcifying characteristics of peripheral vascular smooth muscle cells of chronic kidney disease patients with critical limb ischemia

Dong-Oh Lee, Ji Hye Kim, Ho Won Kang, Dae Yoo Kim, Wonik Lee, Tae-Joon Cho, Dong Yeon Lee

Summary: The study compared the calcifying characteristics of peripheral VSMCs in patients with PAD and CKD to normal aortic VSMCs. The results showed significantly increased calcification levels and higher proportion of dead cells in pathologic peripheral VSMCs compared to normal aortic VSMCs, especially in high phosphate media.

VASCULAR MEDICINE (2021)

Article Multidisciplinary Sciences

MRI risk factors for development of avascular necrosis after closed reduction of developmental dysplasia of the hip: Predictive value of contrast-enhanced MRI

Jung-Eun Cheon, Ji Young Kim, Young Hun Choi, Woo Sun Kim, Tae-Joon Cho, Won Joon Yoo

Summary: This study identified excessive abduction of the hip joint and global decreased enhancement of the femoral head as predictors for the development of AVN after closed reduction of DDH. Additionally, global decreased enhancement of the femoral head was found to be a significant risk factor for AVN.

PLOS ONE (2021)

Article Orthopedics

Acute correction of proximal tibial coronal plane deformity in small children using a small monolateral external fixator with or without cross-pinning

Chaemoon Lim, Chang Ho Shin, Won Joon Yoo, Tae-Joon Cho

Summary: Surgical correction of proximal tibia deformity in small children using small monolateral external fixator provides accurate, safe, and efficient correction in the management of coronal plane angular deformity, with a high rate of achieving postoperative normal range of radiographic parameters. No complications were observed during the follow-up period, indicating a successful and reliable surgical technique for this patient group.

JOURNAL OF CHILDRENS ORTHOPAEDICS (2021)

Article Orthopedics

Patterns of femoral neck fracture and its treatment methods in patients with osteogenesis imperfecta

Wan Kee Hong, Doo Jae Lee, HoeJoeng Chung, Chaemoon Lim, Chang Ho Shin, Won Joon Yoo, Tae-Joon Cho

Summary: This study investigated the types, treatment methods, and outcomes of femoral neck fractures (FNF) in patients with osteogenesis imperfecta. The study found that the angulated-stable pattern of fracture is unique in osteogenesis imperfecta patients and requires special attention.

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B (2022)

Article Orthopedics

Intra-articular acetabular osteochondroma in patients with multiple hereditary exostoses

Ashima Choudhry, Geunwu Gimm, Ho Won Kang, Chang Ho Shin, Won Joon Yoo, In-Ho Choi, Tae-Joon Cho

Summary: We report three cases of intra-articular acetabular osteochondroma in patients with multiple hereditary exostoses, aiming to raise awareness of this rare condition. With various treatment options, good outcomes can be achieved based on the patient's condition.

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B (2022)

Article Orthopedics

Effect of Leg Length Discrepancy on Lateral Center-edge Angle Measurement

Jung-Wee Park, Chang Ho Shin, Byung Sun Choi, Yoon Joo Cho, Won Joon Yoo, In Ho Choi, Tae-Joon Cho

Summary: This study aimed to examine the longitudinal reference line used for measuring LCEA in previous studies, evaluate the frequency of change in the classification of acetabular overcoverage or undercoverage based on the reference line, and validate the trigonometric method for predicting LCEA change according to LLD. The results showed the need to clarify the definition of the longitudinal reference line and demonstrated the accuracy of the trigonometric method for predicting LCEA change in concentric hips.

JOURNAL OF PEDIATRIC ORTHOPAEDICS (2022)

Article Orthopedics

Comparison of the kinematics, repeatability, and reproducibility of five different multi-segment foot models

Hyo Jeong Yoo, Hye Sun Park, Dong-Oh Lee, Seong Hyun Kim, Gil Young Park, Tae-Joon Cho, Dong Yeon Lee

Summary: This study compares the kinematics, repeatability, and reproducibility of five multi-segment foot models (MFMs) under the same experimental conditions. The results showed that rotating the segment according to radiographic or goniometric measurements improved reliability. Additionally, there were differences in range of motion and points of peak angle among different models. Therefore, clinicians and researchers need to be aware of the specific features of each MFM to make accurate decisions.

JOURNAL OF FOOT AND ANKLE RESEARCH (2022)

Review Biotechnology & Applied Microbiology

Gene Therapy for Fibrodysplasia Ossificans Progressiva: Feasibility and Obstacles

Elisabeth M. W. Eekhoff, Ruben D. de Ruiter, Bernard J. Smilde, Ton Schoenmaker, Teun J. de Vries, Coen Netelenbos, Edward C. Hsiao, Christiaan Scott, Nobuhiko Haga, Zvi Grunwald, Carmen L. De Cunto, Maja di Rocco, Patricia L. R. Delai, Robert J. Diecidue, Vrisha Madhuri, Tae-Joon Cho, Rolf Morhart, Clive S. Friedman, Michael Zasloff, Gerard Pals, Jae-Hyuck Shim, Guangping Gao, Frederick Kaplan, Robert J. Pignolo, Dimitra Micha

Summary: Fibrodysplasia ossificans progressiva (FOP) is a rare and devastating genetic disease where soft connective tissue turns into heterotopic bone. Although the genetic defect is known, effective treatments have been hindered by the complexity of the disease. Gene therapy shows promise as a therapeutic option for FOP, but the role of the immune system and the primary causative cell remain unknown.

HUMAN GENE THERAPY (2022)

Article Genetics & Heredity

Clinical characteristics and effects of enzyme replacement therapy with elosulfase alfa in Korean patients with mucopolysaccharidosis type IVA

Seung Hoon Lee, Hwa Young Kim, Tae-Joon Cho, Hyoungmin Kim, Jung Min Ko

Summary: This study reports the clinical characteristics and outcomes of enzyme replacement therapy (ERT) in 9 patients with mucopolysaccharidosis type IVA (MPS IVA). ERT was well tolerated and showed positive effects on pulmonary and heart function, endurance, and functional independence. However, its impact on skeletal outcomes, including growth, was limited.

MOLECULAR GENETICS AND METABOLISM REPORTS (2022)

Article Endocrinology & Metabolism

Clinical Manifestations and Outcomes of 20 Korean Hypochondroplasia Patients with the FGFR3 N540K variant

Hwa Young Kim, Young Ah Lee, Choong Ho Shin, Tae-Joon Cho, Jung Min Ko

Summary: This study analyzed the clinical manifestations and outcomes of Korean patients with hypochondroplasia harboring the FGFR3 N540K variant. The results showed that these patients often presented with short stature, short limbs, genu varum, hydrocephalus, and developmental delay. After growth hormone therapy, there was a significant increase in height. These findings highlight the importance of monitoring skeletal manifestations and neurodevelopmental status in patients with hypochondroplasia.

EXPERIMENTAL AND CLINICAL ENDOCRINOLOGY & DIABETES (2023)

Article Orthopedics

Radiographic Factors for Progression of Thoracolumbar Kyphosis in Achondroplasia Patients after Walking Age: A Generalized Estimating Equation Analysis

Sujung Mok, Sam Yeol Chang, Sung Cheol Park, Ihnseok Chae, Hyoungmin Kim, Bong -Soon Chang, Tae -Joon Cho, Jung Min Ko

Summary: This study aimed to analyze the trends in changes of radiologic parameters to predict factors affecting the progression of thoracolumbar kyphosis (TLK). The results showed that AVT and WVH could be factors that ultimately affect the exacerbation of kyphosis as the difference between the groups increased significantly over time.

CLINICS IN ORTHOPEDIC SURGERY (2022)

No Data Available