Pelvic Osteotomy

Pelvic Osteotomy: общие сведения

Pelvic osteotomy in India is a joint-preserving operation that cuts and reorients part of the pelvis to improve acetabular coverage and hip mechanics. It is most often considered for selected adolescents or adults with symptomatic developmental hip dysplasia or another structural acetabular abnormality when the hip joint still has sufficient cartilage to benefit from preservation rather than replacement.

Planning is led by a hip-preservation orthopaedic surgeon and usually includes standing and dedicated pelvic X-rays. CT can clarify three-dimensional bony anatomy and femoral version, while MRI may assess cartilage, labrum and other intra-articular disease. Age, skeletal maturity, joint congruence, range of motion and the degree of established osteoarthritis all influence whether osteotomy is appropriate. A periacetabular osteotomy (PAO) is one commonly used technique, but the exact procedure must match the deformity.

Surgery is major reconstruction and usually requires protected weight-bearing followed by progressive physiotherapy while the osteotomy heals. Risks include bleeding, infection, nerve or vessel injury, delayed union or non-union, heterotopic bone formation, persistent symptoms and progression of arthritis. Some patients also have femoral deformity or significant labral or cartilage disease that changes the operative plan or requires additional treatment.

The cost of pelvic osteotomy in India depends on the osteotomy type, imaging and planning, fixation implants, anaesthesia, hospital stay and rehabilitation. Tertiary orthopaedic centres in India can provide hip-preservation surgery, advanced imaging and structured rehabilitation. Medical Help India can connect international patients with an appropriate healthcare partner to review X-rays and MRI/CT, assess joint-preservation candidacy and provide an individual treatment estimate.

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