Abstract：
BACKGROUND: Wiktor Dega originally described the surgical technique of transiliac osteotomy in 1969 in the Polish Orthopaedics and Trauma Surgery Journal. Its worldwide popularity spread just after it was presented in English by Grudziak and Ward in 2001 [1]. This paper aims to describe the development of the technique by Wiktor Dega\'s team.
METHODS: An analysis of original papers published by Dega between 1929-1974 was performed to clarify the chronology of development of the technique.
RESULTS: Dega\'s interest in developmental dysplasia of the hip (DDH) had begun as early as 1929, when he presented in Vilnius a paper about the aetiology and pathogenesis of the disease. The concept of transiliac osteotomy had been initially based on König\'s idea of shelf procedure. Dega called this procedure plastic surgery of the acetabular roof and performed it between 1927 and 1930. In 1964, Dega published a paper that described the basic concept of DDH treatment with a pelvic osteotomy termed supraacetabular semi-circular osteotomy. This procedure differed from transiliac osteotomy because it did not involve cutting the inner cortex of the ilium. In 1968 the first \'technically proper\' transiliac osteotomy was performed and then described in 1969. In 1974, Dega emphasized that both the outer and inner iliac walls should be osteotomized in the transiliac osteotomy.
CONCLUSIONS: The political situation of the 1950s and the 1960s made it difficult to freely exchange views and clinical experiences between the Western and Eastern political camps. Despite this, Wiktor Dega became a precursor of effective surgical treatment in DDH worldwide.
METHODS: An analysis of original papers published by Dega between 1929-1974 was performed to clarify the chronology of development of the technique.
RESULTS: Dega\'s interest in developmental dysplasia of the hip (DDH) had begun as early as 1929, when he presented in Vilnius a paper about the aetiology and pathogenesis of the disease. The concept of transiliac osteotomy had been initially based on König\'s idea of shelf procedure. Dega called this procedure plastic surgery of the acetabular roof and performed it between 1927 and 1930. In 1964, Dega published a paper that described the basic concept of DDH treatment with a pelvic osteotomy termed supraacetabular semi-circular osteotomy. This procedure differed from transiliac osteotomy because it did not involve cutting the inner cortex of the ilium. In 1968 the first \'technically proper\' transiliac osteotomy was performed and then described in 1969. In 1974, Dega emphasized that both the outer and inner iliac walls should be osteotomized in the transiliac osteotomy.
CONCLUSIONS: The political situation of the 1950s and the 1960s made it difficult to freely exchange views and clinical experiences between the Western and Eastern political camps. Despite this, Wiktor Dega became a precursor of effective surgical treatment in DDH worldwide.
摘要：
背景：WiktorDega最初于1969年在《波兰骨科和创伤外科杂志》上描述了经骨截骨术的手术技术。在2001年由Grudziak和Ward以英语介绍后，它在全球范围内的受欢迎程度就开始传播[1]。本文旨在描述WiktorDega团队对该技术的发展。
方法：对Dega在1929-1974年间发表的原始论文进行了分析，以阐明该技术发展的时间顺序。
结果：Dega\对发育性髋关节发育不良（DDH）的兴趣早在1929年就开始了，当时他在维尔纽斯发表了一篇关于该病的病因和发病机理的论文。短路截骨术的概念最初是基于König的架子手术思想。Dega将此手术称为髋臼屋顶的整形手术，并在1927年至1930年之间进行了手术。1964年，Dega发表了一篇论文，描述了用骨盆截骨术治疗DDH的基本概念，称为髋臼上半圆形截骨术。此程序与经骨截骨术不同，因为它不涉及切割the骨的内皮质。1968年，进行了第一个“技术上合适的”短骨截骨术，然后在1969年进行了描述。1974年，Dega强调，在前路截骨术中，应将the骨外壁和内壁均截骨。
结论：1950年代和1960年代的政治局势使西方和东方政治阵营之间难以自由地交换意见和临床经验。尽管如此,WiktorDega成为全球DDH有效手术治疗的先驱。
方法：对Dega在1929-1974年间发表的原始论文进行了分析，以阐明该技术发展的时间顺序。
结果：Dega\对发育性髋关节发育不良（DDH）的兴趣早在1929年就开始了，当时他在维尔纽斯发表了一篇关于该病的病因和发病机理的论文。短路截骨术的概念最初是基于König的架子手术思想。Dega将此手术称为髋臼屋顶的整形手术，并在1927年至1930年之间进行了手术。1964年，Dega发表了一篇论文，描述了用骨盆截骨术治疗DDH的基本概念，称为髋臼上半圆形截骨术。此程序与经骨截骨术不同，因为它不涉及切割the骨的内皮质。1968年，进行了第一个“技术上合适的”短骨截骨术，然后在1969年进行了描述。1974年，Dega强调，在前路截骨术中，应将the骨外壁和内壁均截骨。
结论：1950年代和1960年代的政治局势使西方和东方政治阵营之间难以自由地交换意见和临床经验。尽管如此,WiktorDega成为全球DDH有效手术治疗的先驱。
