Orthopedic aspects of separation

In the management of conjoined twins the orthopedic surgeon may be involved directly, as part of the surgical team at operation or indirectly, in dealing with associated anomalies or the sequelae of surgery.The overwhelming indication for orthopaedic involvement is ischiopagus, either tripus or tetrapus. The main role of the orthopedic surgeon is to facilitate midline closure through the use of pelvic osteotomies, which allow the symphyses pubes to be approximated.

Source: Seminars in Pediatric Surgery - July 3, 2015 Category: Pediatrics Authors: David Jones Source Type: research