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

Pelvic Osteotomies for Cloacal Exstrophy

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Jeffrey Gray1; Purushottam Gholve, MD, MBMS, MRCS2
1Sidney Kimmel Medical College, Thomas Jefferson University
2Tufts Medical Center

Orthopaedics

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Exposure
      1. 3. Osteotomy
        1. 4. Closure
          1. 5. Repeat for Opposite Side
            1. Salter Incision
              • One fingerbreadth 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.
            1. Expose Inner and Outer Table of Ilium
              • Subperiosteal dissection on medial and lateral surface.
            2. Expose Sciatic Notch
            3. Cut from Crest to Sciatic Notch
              • Apply skin traction (Buck's traction).
              • May require osteotomy of ASIS to assist in closure.

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            Tufts Medical Center

            Article Information

            Publication Date
            Article ID102a
            Production ID0102.1
            Volume2024
            Issue102a
            DOI
            https://doi.org/10.24296/jomi/102a