Functional and radiologic results of posteromedial limited surgery in developmental dysplasia of the hip
Yükleniyor...
Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Galen
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
PURPOSE OF THE STUDY
In treatment algorithm of developmental dysplasia of the hip, posteromedial limited surgery is placed between closed reduction and medial open articular reduction. The aim of the present study was to assess the functional and radiologic
results of this method.
MATERIAL AND METHODS
This retrospective study was performed in 37 Tönnis grade II and III dysplastic hips of 30 patients. The mean age of the
patients at operation was 12.4 months. The mean follow-up time was 24.5 months. Posteromedial limited surgery was
applied when sufficient stable concentric reduction was not achieved by closed technique. No pre-operative traction was applied. Postoperatively, human position hip spica cast was applied for 3 months. Outcomes were evaluated regarding modified
McKay functional results, acetabular index and presences of residual acetabular dysplasia or avascular necrosis.
RESULTS
Thirty-six hips had satisfactory and one hip had poor functional result. The mean pre-operative acetabular index was 34.5
degrees. It improved to 27.7 and 23.1 degrees at the postoperative 6th month and the last control X-Rays. The change in
acetabular index was statistically significant (p<0.05). At the last control, 3 hips had findings of residual acetabular dysplasia
and 2 hips had avascular necrosis.
CONCLUSIONS
Posteromedial limited surgery for developmental dysplasia of the hip is indicated when closed reduction remains insufficient
and medial open articular reduction remains unnecessarily invasive. This study, in line with the literature, provides evidences
that this method might decrease the incidences of residual acetabular dysplasia and avascular necrosis of the femoral
head.
Açıklama
Anahtar Kelimeler
Developmental dysplasia of the hip, Posteromedial limited surgery, Closed reduction, Medial open reduction
Kaynak
Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
90
Sayı
1
Künye
Uzel, K., Gem, M., Şahin, İ., Ziyadanoğulları, M. O., Eskandari, M. M. ve Arslan, H. (2023). Functional and radiologic results of posteromedial limited surgery in developmental dysplasia of the hip. Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca, 90(1), 17-21.
