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  • Title
  • Introduction
  • 1. Exposure
  • 2. Osteotomy
  • 3. Closure
  • 4. Repeat for Opposite Side

Pelvic Osteotomies for Cloacal Exstrophy

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Purushottam Gholve, MD, MBMS, MRCS
Tufts Medical Center

OrthopaedicsPediatric Surgery

Procedure Outline

Table of Contents

  1. 1. Exposure
    1. 2. Osteotomy
      1. 3. Closure: Apply skin traction (Buck's traction). May require osteotomy of ASIS to assist in closure
        1. 4. Repeat previous steps for opposite side
          1. Salter Incision: One finger width below iliac crest, 1-2 cm proximal to ASIS
          2. Elevate External Oblique Muscle: Iliac crest exposed from ASIS to 1/2-3/4 the length
          3. Dissect Sartorius/Tensor Fascia Lata Interval: Protect and medially reflect lateral femoral cutaneous nerve
          4. Split Iliac Crest Apophysis
          1. Expose Inner & Outer Table of Ilium: Sub-periosteal dissection on medial and lateral surface
          2. Expose Sciatic Notch
          3. Cut from Crest to Sciatic Notch
           

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          Filmed At:

          Tufts Medical Center

          Article Information

          Publication Date
          Article ID102a
          Production ID0102.1
          VolumeN/A
          Issue102a
          DOI
          https://doi.org/10.24296/jomi/102a