Functional and radiologic results of posteromedial limited surgery in developmental dysplasia of the hip

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dc.authorid0000-0001-6945-0681en_US
dc.contributor.authorUzel, Kadir
dc.contributor.authorGem, Mehmet
dc.contributor.authorŞahin, İlhami
dc.contributor.authorZiyadanoğulları, Mehmet Onur
dc.contributor.authorEskandari, Mehmet Manouchehr
dc.contributor.authorArslan, Hüseyin
dc.date.accessioned2023-08-10T08:35:49Z
dc.date.available2023-08-10T08:35:49Z
dc.date.issued2023en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalıen_US
dc.description.abstractPURPOSE 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.en_US
dc.identifier.citationUzel, 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.en_US
dc.identifier.endpage21en_US
dc.identifier.issn0001-5415
dc.identifier.issue1en_US
dc.identifier.pmid36907578en_US
dc.identifier.scopus2-s2.0-85150225468en_US
dc.identifier.startpage17en_US
dc.identifier.urihttps://achot.cz/artkey/ach-202301-0002_functional-and-radiologic-results-of-posteromedial-limited-surgery-in-developmental-dysplasia-of-the-hip.php
dc.identifier.urihttps://hdl.handle.net/11468/12465
dc.identifier.volume90en_US
dc.identifier.wosWOS:000995061900002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorArslan, Hüseyin
dc.language.isoenen_US
dc.publisherGalenen_US
dc.relation.ispartofActa Chirurgiae Orthopaedicae et Traumatologiae Cechoslovacaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDevelopmental dysplasia of the hipen_US
dc.subjectPosteromedial limited surgeryen_US
dc.subjectClosed reductionen_US
dc.subjectMedial open reductionen_US
dc.titleFunctional and radiologic results of posteromedial limited surgery in developmental dysplasia of the hipen_US
dc.title.alternativeFunk?ní a radiologické v?sledky posteromediální limitované chirurgické terapie u v?vojové dysplazie ky?elních kloub?en_US
dc.typeArticleen_US

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