The Bernese periacetabular osteotomy has been performed for approximately 30 years. In that time, it has proven to be a technically complex procedure with the potential to considerably improve the natural history of the dysplastic hip. Significant refinements in the surgical technique combined with the recognition of femoroacetabular impingement, improvements in the understanding of hip biomechanics and acetabular orientation, and more discerning patient selection have improved the outcomes related to this procedure. Although the surgery is complex and the potential for complications exists, the results are reproducible and the technique has become the gold standard for acetabular reorientation.
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