Summary
Pedicled iliac crest epiphysis transplantation was performed after resection of the outer portion of the acetabulum in 30 puppies 3 months old.
The best joint congruency was obtained when using a vertical pedicled graft, the surface of which developed into normal articular cartilage through metaplasia, and presented normal cartilage growth by means of conservation of the epiphyseal vessels.
The results of this experiment enable the authors to propose a new surgical technique in the treatment of certain difficult dysplastic conditions in the hip.
Résumé
La crête iliaque a été pédiculée sur ses vaisseaux épiphysaires et transplantée sur le toit du cotyle en position intra-articulaire, en remplacement de la portion latérale de l'acétabulum qui a été réséquée chez 30 chiots âgés de 3 mois.
Les meilleurs résultats sur la congruence articulaire, le maintien de la tête fémorale et l'aspect de la surface cartilagineuse aprés 9 à 18 mois, ont été obtenus dans les cas de greffons pédiculés verticalement insérés. En effet, ceux-ci sont le siège d'une croissance propre, évitant à la butée de remonter avec la croissance, et leur surface articulaire présente, en rapport avec la bonne vascularisation du cartilage hyalin sous-jacent, un aspect de cartilage normal.
A la lumière de cette expérimentation, les auteurs proposent une nouvelle technique de traitement de certains états dysplasiques de la hanche chez l'enfant.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Références
Albee, F. H.: Orthopedic and reconstruction surgery. Philadelphia, W. B. Saunders Co, 895–901 (1919) 1 bis. Benum, P.: Autogenous transplantation of apophyseal cartilage to osteochondral defects of joints. Acta Orthop. Scand., suppl. no 156 (1974)
Bosworth, D. M. et al.: Hip shelf operations in adults. J. Bone Joint Surg. 43-A, 93–106 (1961)
Bosworth, D. M. et al.: Hip shelves in children. J. Bone Joint Surg. 42-A, 1223 (1960)
Brown, K. L. B. et al.: Transplantation of free vascularized epiphysis. An experimental study in dogs. Orthop. Trans. 5, 295 (1981)
Chiari, K.: Medial displacement osteotomy of the pelvic. Clin. Orthop. 98, 55 (1974)
Donski, P. K., Carwell G. R., Sharzer L. A.: Growth in revascularized bone grafts in young puppies. Plast. Reconst. Surg. 239–243 (1979)
Eaton R., Capello W. N.: Reconstruction of severe acetabular deficiency utilizing iliac bone graft. Transactions AAOS New Orleans, jan. (1982)
Eulert F., Floetemeyer R., Winckler G.: Remplacement d'une plaque épiphysaire des os longs par du cartilage de la crête iliaque. Ann. Chir. 33, 19, 16 (1979)
Ghormley, R. K.: Use of the anterior superior spine and crest of ilium in surgery of the hip joint. J. Bone Joint Surg., 13-A, 784 (1931)
Ham, A. W., Cormack, D. M.: Histophysiology of cartilage bone and joints. J. B. Lippincott Cy (1979)
Heymann, C. H.: Bone shelf operation for congenital and some other dislocations of the hip in children. J. Bone Joint Surg., 45-A, 11–13, 196
Hoffa, A.: The ultimate results of my bloodless reposition of congenital dislocation of the hips. Am. J. Orthop. Surg. 2, 234–239 (1905)
König.: Bildung einer knöchernen Hemmung für den Gelenkkopf bei kongenitaler Luxation. Zentralbl Chir., 18, Beilage 26, 146–147 (1891)
Love, B. R. T., Stevens P. M., Williams, P. F.: A long term review of shelf arthroplasty. J. Bone Joint Surg. 62-B, 3 (1980)
Pemberton, P. A.: Pericapsular osteotomy of the ilium for treatment of congenital subluxation and dislocation of the hip. J. Bone Joint Surg., 47-A, 65 (1965)
Ponseti, I. V., Pedrini-Mille, A., Pedrini, V., Histological and chemical analysis of human crest cartilage I. Calcif. Tiss. Res., 2, 197–213 (1968)
Salter, R. B.: Innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip. J. Bone Joint Surg. 43-B, 518 (1961)
Steele, H.: Triple ostéotomy of the innominate bone. J. Bone Joint Surg. 55-A, 343 (1973)
Takahashi, M.: Repair of the acetabular portion made by insertion of the iliac bone graft: an experimental study. Sapporo Med. J. 35 (3) 103–134 (1969)
Teot, L. et al.: Symposium sur les transferts osseux libres pédiculés. SOFCOT, Paris Nov. 1981 Teot, L., Tremblay, G. R.: Pedicled iliac crest epiphysis Transactions of the 28th ORS meeting — New Orleans, 1982, p. 265
Wagner, H.: Experience with spherical acetabular osteotomy for the correction of the dysplastic acetabular. In: Weil, H. H. (ed.) Progress in Orthopaedic Surgery. N. Y. Springer Verlag, 131–145, 1978
Wilson, J. C.: Surgical treatment of the dysplastic acetabular in adolescence. Clin. Orthop., 98, 137–145 (1974)
Zaleske, D. J. et al.: Growth plate behavior whole joint replantation in the rabbit. J. Bone Joint Surg. 64-A, 2, 249–257 (1982)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Teot, L., Dussault, R.G., Bosse, J.P. et al. Acétabuloplastie par greffon pédiculé d'épiphyse de crête iliaque chez le chien en croissance. International Orthopaedics 7, 1–9 (1983). https://doi.org/10.1007/BF00267553
Issue Date:
DOI: https://doi.org/10.1007/BF00267553