Bilateral Innominate Osteotomy in the Management of Exstrophyepispadias Complex – A Case Report

Vol 31 | Issue 1 | Jan – Jun 2018 | page: 21-23 | Tony Kavalakkatt, V K Gopi, K P Arunlal, Jim Thomas Malayil, M Chandan.

Authors: Tony Kavalakkatt [1], V K Gopi [2], K P Arunlal [3]³, Jim Thomas Malayil [1], M Chandan  [1]

[1] Department of Orthopaedics, Baby Memorial Hospital, Kozhikode, Kerala, India,

[2] Department of Paediatric Surgery, Baby Memorial Hospital, Kozhikode, Kerala, India,

[3] Department of Orthopaedics, Consultant Orthopaedic Surgeon, Baby Memorial Hospital, Kozhikode, Kerala, India,

Address of Correspondence
Dr. Tony Kavalakkatt,
Green view Colony, Kuthiravattom, Kozhikode. India


Introduction:Bladder exstrophy is a developmental defect presenting with a wide pubic separation and an exposed bladder at birth resulting from abnormal anterior rupture of the cloacal membrane early in the embryonic period. Pelvic osteotomies in conjunction with primary reconstruction of the genitor-urinary tract due to failure resulting from increased tension on the soft tissues and early wound dehiscence. This report re-enforces the crucial role of pelvic inominate osteotomy as part of the primary reconstruction in a patient with exstrophy-epispadias complex
Keywords: Bladder exstrophy, Pelvic Osteotomy, Primary Reconstruction.


1. Purves JT, Gearhart JP. Pelvic osteotomy in the modern treatment of the exstrophy-epispadias complex. Eur Assoc Urol Eur Board Urol 2007;5:188-96.

2. Sponseller PD, Jani MM, Jeffs RD, Gearhart JP. Anterior innominate osteotomy in repair of bladder exstrophy. J Bone
Joint Surg Am 2001;83-A:184-93.

3. Sponseller PD, Bisson LJ, Gearhart JP, Jeffs RD, Magid D, Fishman E, et al. The anatomy of the pelvis in the exstrophy complex. J Bone Joint Surg Am 1995;77:177-89.

How to Cite this Article: Kavalakkatt T, Gopi V K, Arunlal K P, Malayil J T, Chandan M. Bilateral Innominate Osteotomy in the Management of Exstrophy-epispadias Complex – A Case Report. Kerala Journal of Orthopaedics Jan- Jun 2018;31(1):21-23 .


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