Surgical correction of acetabular dysplasia in the adult

Acetabular redirection surgery is the mainstay of treatment for the symptom atic, dysplastic hip. The authors' experience with the Salter innominate os teotomy, Wagner spherical acetabular osteotomy and the modified Bernese per iacetabular osteotomy shows that major acetabular redirection surgery can r eliably improve the structure of the dysplastic hip and delay or prevent se condary osteoarthrosis. The limited correction achieved by the Salter innom inate osteotomy suggests this procedure generally should be reserved for yo unger patients with mild dysplasia, The modified Bernese periacetabular ost eotomy is the authors' current preferred method of treating acetabular dysp lasia, even in the presence of mild to moderate secondary osteoarthrosis.