403 Forbidden

Triple & PAO - Hip Preservation
Hip Preservation
General Procedures

Triple & PAO

Triple Innominate & PeriAcetabular Osteotomies

Acetabular deficiency in older children or mal-orientation of the acetabulum at any age is best treated by freeing the acetabulum from the rest of the pelvis and redirecting it to increase coverage of the femoral head and optimally orienting it to the rest of the pelvis.

Triple innominate osteotomy involves complete division of pubis, ischium, and ilium away from the growth plates and hence can be performed at any age. The Tonnis 2 triple osteotomy will give an acetabular fragment that is free from all tethers and as mobile as a periacetabular osteotomy. Triple osteotomy has the disadvantages of disrupting the pelvic ring and healing issues with bigger corrections when the gap gets bigger.

Periacetabular Osteotomy (PAO) is the most desirable pelvic osteotomy when triradiate cartilage growth is not considered significant anymore (after 8 years of age). The osteotomy involves a complete pubic osteotomy, partial ischial and iliac cuts freeing the acetabulum while leaving the posterior half of the posterior column intact. The fragment retains adequate blood supply and healing potential even with large corrections. PAO is also the most difficult procedure to learn with a steep learning curve and serious potential complications.

Both osteotomies can be performed through a single anterior incision for all the cuts or a single lateral approach when combined with surgical dislocation or femoral osteotomy.

Sequence of femur and acetabular procedures

Whenever both femoral and acetabular osteotomies are indicated, an approach to the femur can be used for the ischial osteotomy even if the other cuts will be performed through a separate anterior approach.

Professional freelance business writers deliver professional Home Page and copy editing services, plain language business writing, and Periacetabular osteotomy postop protocol


PT – Mobilize with toe-touch weight-bearing, No other restrictions unless surgical dislocation was performed and instability of the hip joint is a concern.

Reinforce dressings as needed.

Teds for 10 days

SCDs while in-house.

Aspirin 325 mg q day for 14 days

Pelvis AP x-ray. Consider adjustment of acetabular orientation if needed in the first week.

It is good to read Professional Custom Essays before contracting with any writing service provider as there are many of them. POD #2

Remove epidural, catheter, and drain.

Reinforce dressings as needed. Do not change them.

Hip motion as tolerated.

Ambulate 100 ft twice a day.

Occupational therapy to evaluate and treat for ADLs.

Discharge planning

British Dissertation Writers is the leading Asinment service in the UK who excel at giving students award-winning dissertations that they can use at their university. Submitting any one of the dissertations, which an expert dissertation writer from our team has helped out with, will ensure great results for the student. We also have a team of seasoned writers who know how to POD #10

Pelvis AP Xray.

Remove dressings and sutures.

Stationary cycle at low resistance for 20 minutes twice a day.

Examples Of Introductions For Research Papers - Best Term Paper Writing and Editing Website - We Help Students To Get Custom Assignments For Me High-Quality Assignment Writing and POD #30

Pelvis AP x-ray.

Increase weight-bearing based on healing of the osteotomy.

Increase the resistance on the cycle.

Business Plan Help Wales - Resume distribution service; good cover letter writing services. POD # 60

Pelvis AP x-ray.

Increase weight-bearing based on healing of the osteotomy.

Abductor strengthening.

Physical therapy

Every dissertation is followed with a referencing. Most of the students are unaware of the referencing styles such as Harvard, Chicago, MLA and APA. Business Plan For A Farm from a reputed dissertation service provider is the ideal destination for them. The university professors and evaluators have high expectations from the dissertations. Top quality dissertations can only score high in the final evaluation. Unable to meet their expectations, most of the students go to a custom POD # 90

Resume normal activities.


0 0 vote
Article Rating
Notify of
Inline Feedbacks
View all comments
Would love your thoughts, please comment.x