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Pemberton Osteotomy for Acetabular Dysplasia by Shier-Chieg Huang, Ting-Ming Wang, Kuan-Wen Wu, Chien-feng Fang, and Ken N. Kuo JBJS Essent Surg Tech Volume 1(1):e2 June 15, 2011 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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An anterior iliofemoral incision is used, caudal to the anterior superior iliac spine (ink outline to the right of the incision line mark) and the iliac crest. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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The iliac crest cartilaginous apophysis is split sharply, with the thumb and the index finger used to gauge the thickness and direction of the iliac wing. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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The tendon of the straight head of the rectus femoris muscle is isolated and is divided just caudal to the anterior inferior iliac spine (AIIS). Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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The iliopsoas tendon is identified at the pelvic rim, and the tendinous portion is divided, leaving the muscular portion intact. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Capsular incision outline with the stem of the T parallel with the femoral neck. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Medial cut line: outline on a skeletal model. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Medial cut line: outline on a reconstructed three-dimensional computed tomography (CT) scan. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Medial cut line in the surgical field. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Lateral cut line: outline on a skeletal model. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Lateral cut line: outline on a reconstructed three-dimensional computed tomography (CT) scan. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Lateral cut line in the surgical field. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Iliac osteotomy with use of a large curved osteotome. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Surgical field in which a bone graft is maintaining the opening of the osteotomy site. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Postoperative reconstructed three-dimensional computed tomography (CT) scan from the anterior view showing the bone graft in place. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Postoperative reconstructed three-dimensional computed tomography (CT) scan from the posterior view showing the bone graft in place. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Anteroposterior pelvic radiograph of a twenty-month-old girl with developmental dysplasia of the left hip. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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Immediate postoperative anteroposterior radiograph showing the reduced hip after the Pemberton osteotomy. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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When the patient was fifteen years old, the left hip had an excellent result. Shier-Chieg Huang et al. JBJS Essent Surg Tech 2011;1:e2 ©2011 by The Journal of Bone and Joint Surgery, Inc.
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