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Background
Ganz peri-acetabular osteotomy has
been developed by Professor Ganz in Switzerland, and was first
described in 1988. The operation is performed in patients
suffering from acetabular dysplasia and includes osteotomy of
the pubic bone, ischial bone, and ilium. When the osteotomy is
completed the acetabulum is rotated around the center of the
femoral head, three-dimensionally, to increase the coverage of
the femoral head laterally and anteriorally.
Exact re-orientation of the acetabulum is very important as
under-correction or over-correction result in inferior outcome.
One way to control the degree of correction is to perform x-rays
of the pelvis, perioperatively. This, however, is time-consuming
as the surgeon and the whole team has to wait for the
development of the X-rays, and maybe has to perform several
trials before the orientation of the acetabulum is acceptable.
The problem using fluoroscopy is
that only one hip can be seen at the time which results in a
high degree of error measuring the CE angle. Therefore most
surgeons use conventional X-rays of the whole pelvis taken
perioperatively.
Consequently, we developed a measuring device to be used under
fluoroscopy:
1) CE – angle measurement device.
2)
Acetabular index angle measurement device.
3) Drill guide.
This
measuring device – called “The Søballe Instrument”, after its
inventor Prof. Kjeld Søballe, M.D., Ph.D. – is now commercially
available to the surgical community – through this web-site. |
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