{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T16:20:10Z","timestamp":1790785210705,"version":"4.1.0"},"reference-count":22,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"6","license":[{"start":{"date-parts":[[2006,6,1]],"date-time":"2006-06-01T00:00:00Z","timestamp":1149120000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2006,6]]},"abstract":"<jats:p> We reviewed retrospectively 45 patients (46 procedures) with bladder exstrophy treated by bilateral oblique pelvic osteotomy in conjunction with genitourinary repair. <\/jats:p><jats:p> The operative technique and post-operative management with or without external fixation are described. A total of 21 patients attended a special follow-up clinic and 24 were interviewed by telephone. The mean follow-up time was 57 months (24 to 108). <\/jats:p><jats:p> Of the 45 patients, 42 reported no pain or functional disability, although six had a waddling gait and two had marked external rotation of the hip. Complications included three cases of infection and loosening of the external fixator requiring early removal with no deleterious effect. Mid-line closure failed in one neonate managed in plaster. This patient underwent a successful revision procedure several months later using repeat osteotomies and external fixation. <\/jats:p><jats:p> The percentage pubic approximation was measured on anteroposterior radiographs pre-operatively, post-operatively and at final follow-up. The mean approximation was 37% (12% to 76%). It varied markedly with age and was better when external fixation was used. The wide range reflects the inability of the anterior segment to develop naturally in spite of close approximation at operation. <\/jats:p><jats:p> We conclude that bilateral oblique pelvic osteotomy with or without external fixation is useful in the management of difficult primary closure in bladder exstrophy, failed primary closure and secondary reconstruction. <\/jats:p>","DOI":"10.1302\/0301-620x.88b6.17712","type":"journal-article","created":{"date-parts":[[2006,5,23]],"date-time":"2006-05-23T19:08:33Z","timestamp":1148411313000},"page":"799-806","source":"Crossref","is-referenced-by-count":19,"title":["Oblique pelvic osteotomy in the exstrophy\/epispadias complex"],"prefix":"10.1302","volume":"88-B","author":[{"given":"D.","family":"Jones","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Great Ormond Street Hospital for Children, 5th Floor, Southwood Building, Great, Ormond Street, London WC1N, 3JH, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Parkinson","sequence":"additional","affiliation":[{"name":"Starship Hospital, Grafton, Road, Auckland, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. S.","family":"Hosalkar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, 2nd Floor, Wood, Building, The Children\u2019s Hospital of Philadelphia, 34th, Street and Civic Centre, 19104, Philadelphia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Sponseller PD, Jani MM, Jeffs RD, Gearhart JP. Anterior innominate osteotomy in repair of bladder exstrophy. J Bone Joint Surg [Am] 2001;83-A:184\u201393.","DOI":"10.2106\/00004623-200102000-00005"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Sponseller PD, Bisson LJ, Gearhart JP, et al. The anatomy of the pelvis in the exstrophy complex. J Bone Joint Surg [Am] 1995;77-A:177\u201389.","DOI":"10.2106\/00004623-199502000-00003"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Kantor R, Salai M, Ganel A. Orthopaedic long term aspects of bladder exstrophy. 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