Comparison of iliac and femoral autograft practices in pemberton pelvic osteotomy

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dc.authorid0000-0003-2149-8154en_US
dc.contributor.authorBulut, Mehmet
dc.contributor.authorAzboy, İbrahim
dc.contributor.authorÖzkul, Emin
dc.contributor.authorKarakurt, Lokman
dc.date.accessioned2024-04-22T08:20:32Z
dc.date.available2024-04-22T08:20:32Z
dc.date.issued2021en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalıen_US
dc.description.abstractBackground:There is no consensus in regard to grafts used after pelvic osteotomy in developmental dysplasia of the hip in the literature. The aim of this study was to compare iliac and femoral autografts used after Pemberton pelvic osteotomy (PPO).Methods:In this prospective, randomized study, 60 hips with dysplasia of the hip were included. All patients underwent open reduction, PPO, and femoral shortening osteotomy. Iliac autograft (group I; n=30 hips; mean age, 39.07; range, 18 to 72 mo) and femoral autograft (group II; n=30 hips; mean age, 42.53; range, 19 to 70 mo) were used to fill the iliac osteotomy. The height and width of the iliac and femoral autografts were measured intraoperatively. Anteroposterior pelvic radiographs were obtained on the 45th day, and in the 2nd, 3rd, 6th, and 12th months postoperatively. Acetabular index angle, height of the graft, loss of graft position, graft resorption, operative time, blood loss, and union time were compared between the groups.Results:There was a significant difference in each group in terms of loss of graft height between the intraoperative measurement and the postoperative measurement at the 6th week and 3rd month. The intraoperative width of the grafts was significantly greater, loss of graft height was significantly less, and the amount of bleeding was significantly lower in group II (P<0.001 for all 3). However, time to union was significantly shorter in group I (P<0.001). There was no significant difference between the groups in terms of acetabular index angle at the last controls. There were loss of graft position in 2 cases and graft resorption in 1 case for group I, but no such cases occurred for group II.Conclusions:Graft height and position loss, donor site morbidity, and graft resorption were less in the femoral autografts group compared with the iliac autografts group in the treatment PPO with femoral shortening osteotomy.Level of Evidence:Level II.en_US
dc.identifier.citationBulut, M., Azboy, İ., Özkul, E. ve Karakurt, L. (2021). Comparison of iliac and femoral autograft practices in pemberton pelvic osteotomy. Journal of Pediatric Orthopaedics, 41(1), 46-50.en_US
dc.identifier.doi10.1097/BPO.0000000000001665
dc.identifier.endpage50en_US
dc.identifier.issn0271-6798
dc.identifier.issue1en_US
dc.identifier.pmid32804869
dc.identifier.scopus2-s2.0-85091420399
dc.identifier.scopusqualityQ2
dc.identifier.startpage46en_US
dc.identifier.urihttps://journals.lww.com/pedorthopaedics/fulltext/2021/01000/comparison_of_iliac_and_femoral_autograft.18.aspx
dc.identifier.urihttps://hdl.handle.net/11468/13929
dc.identifier.volume41en_US
dc.identifier.wosWOS:000599710100017
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorÖzkul, Emin
dc.language.isoenen_US
dc.publisherLippincott Williams and Wilkinsen_US
dc.relation.ispartofJournal of Pediatric Orthopaedics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLoss of graft heighten_US
dc.subjectPemberton pelvic osteotomyen_US
dc.subjectIliac and femoral autograften_US
dc.titleComparison of iliac and femoral autograft practices in pemberton pelvic osteotomyen_US
dc.titleComparison of iliac and femoral autograft practices in pemberton pelvic osteotomy
dc.typeArticleen_US

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