Osteotomy is used for disease of the hip joint.
Younger patients with osteoarthritis of the hip but with preservation of some articular cartilage may be helped by a intertrochanteric realignment osteotomy. Osteotomy is good because pain relief and restoration of function may be permanent (75% at 2 years) and yet if symptoms return replacement arthroplasty is still possible.
Adolescents and young adults with acetabular dysplasia may benefit from a medial displacement pelvic osteotomy. An alternative is the "dial" osteotomy where the entire acetabulum is rotated.
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