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By James J. McCarthy, MD; Douglas A. Palma, MD; Randal R. Betz, MD ORTHOPEDICS 2008; 31:126
This retrospective study compared the results of autograft and allograft fixation in 29 children (36 hips) who underwent Pemberton osteotomy. Autograft fixation was used in 21 hips and allograft fixation was used in 15 hips. In the autograft group, 76% of patients had a successful result; 4 of 8 of patients with a neuromuscular disorder in this group had a successful result. In the allograft group, 93% of patients had a successful result; 6 of 7 of patients with a neuromuscular disorder in this group had a successful result. Pemberton osteotomy performed with allograft fixation provided similar or better results than autograft, especially in children with neuromuscular disorders…
…Our findings demonstrate the Pemberton osteotomy performed with allograft supplemental support provides results comparable to those of autograft and appears to be better than autograft in children with neuromuscular disorders such as spinal cord injury or myelomeningocele.