PAO treatment has been gaining a lot of favourable response across Australia when it comes to the dysplasia of the hip in adults or adolescent alike. Reason being is the positive outcome of the results specifically during the short run up to 10 years span with little probability of stretching it over to a long run period. One should bear in mind that Hip Dysplasia is one of the major contributing factor leading towards secondary osteoarthritis. There was a time when conventional hip surgery tends to be famous to curb the problems at hand and to address the anatomic abnormalities. But soon after the arrival of PAO, its contemporary approach has been superseded. Because with PAO now you can correct the deficiency acetabular coverage in hips with developmental dysplasia to prevent the occurrence of secondary osteoarthritis.
There are many surgeons undertaking PAO to address the hip related issues of Aussies but finding the one with the right experience, professionalism, technique, and expertise is a tough call. Dr. David Slattery however has a proven track record in adopting PAO Treatments to address hip dysplasia across the Australia. So when you have to seek consultation for your hip related issues, he is the go to person in Australia. Experience carries a lot of importance when it comes to PAO because of the complexities involved in the execution stage of its techniques.
PAO Techniques are generally comprised or have to go through following stages; however, keep in mind that the PAO is multidirectional and dramatic in appearance.
- The surgical dissection
- Performing the osteotomy
- Obtaining the desire correction
During this procedure, you place the patient on a flat-top radiolucent table without using any bumpy object under either of its hips. You keep the leg on the operative side as draped free. Then anesthesia is deposited through the epidural catheter. The final procedure of this PAO technique begins once sterile prep, drape and a formal operative time-out have occurred. After that you start off with the deep dissection, begins with an elevation of abdominal wall which is extended posteriorly.
This procedure allows the posterior column of the innominate bone to remain intact unless the surgery is completed. A 30 degree forked osteotome is required for this procedure while a narrow blade is used to serve the purpose at hand. This osteotome is available in wide and narrow widths. The osteotome should be placed to at least 70 degrees with the flexed hip.
The correction on getting the confirmation from radiography. During the PAO techniques of this stature, fluoroscopy is moved into an AP view of the operative hip. Then the surgical procedure is initiated to address the dysplastic hips without retroversion.
PAO technique and treatment have been applied for over past 30 years due to its promising results to cure dysplasia cases, making it a rather highly demanding procedure across Australia. The use of the right approach of this treatment has led the surgeons to better understand the hip pathomorphology and acetabular reorientation while putting them in a better position to decide upon the patient’s treatment. Moreover, the dreading side effects of contemporary pelvic osteotomy techniques have also been curbed under the blade of this advanced treatment. Surgeons generally use smith Peterson approach during this treatment while addressing the structural deformity in patients of young age who might also be suffering from symptomatic dysplasia. Other advantages of the Bernese PAO include preservation of the weight-bearing posterior column of the acetabulum, preservation of the acetabular blood supply, maintenance of the hip abductor musculature, and powerful deformity correction about an ideal center of rotation. Goes without saying that, the hip dysplasia is quite in control since the arrival of PAO treatment to give it a new perspective and tool of operation.
Those who go through the PAO techniques also have to undertake aftercare services and measures in order to get effective results. Dr. Slattery, the hip surgeon, takes care of the pain control after the procedure by keeping the patient under observation for up to 48 hours. The postoperative care could last for at least 10 weeks because it’s about backing up your back.