(ii) Pelvic osteotomy for the management of hip displacement in neuromuscular disorders

SummaryPatients with neuromuscular disorders may develop hip displacement and ultimately dislocation as a result of an imbalance of muscle forces acting across the hip joint. Hip displacement can cause pain, mobility and hygiene problems. Management of symptomatic, established hip displacement involves surgical relocation and reconstruction of the abnormal proximal femoral and acetabular anatomy. Several pelvic osteotomies have been described for management of the acetabular abnormalities with the object of preventing recurrent hip displacement. The most common pelvic and periacetabular procedures for management of neuromuscular hip displacement are considered in this article.