CT Evaluation of Coverage and Congruency of the Hip Prior to Osteotomy

Abstract

A computer-assisted model has been developed to improve the results of surgical techniques for reconstruction of hip dysplasia. This method assesses the coverage and congruency of the femoral head by evaluating multiple factors that may influence surgical planning. It achieves a more reliable image because the measurements are based on a three-dimensional representation, and attention is focused on the cartilaginous coverage of the femoral head. A method to simulate the operative correction helps the surgeon in planning osteotomies of the femur and pelvis. This technique clearly establishes both deficiencies of coverage and congruency of pathologic hips and thus may be used to create a more precise definition and treatment of multiple congenital abnormalities.