Bernese Periacetabular Osteotomy: A Comparative Study of Four Types of Incisions.

Autor:	Lara J; From Clínica MEDS (Dr. Lara and Dr. del Río), Instituto Traumatológico (Dr. Garín), Hospital Clínico Mutual de Seguridad CChC (Dr. Cancino and Dr. del Río), Hospital Padre Hurtado (Dr. Neumann and Dr. Villegas), Clínica Alemana de Santiago (Dr. Herrera, Dr. Neumann and Dr. Besomi), Clínica RedSalud Providencia (Dr. Tobar and Dr. Villegas), Hospital Clínico San Borja Arriarán (Dr. Herrera and Dr. Besomi), Clínica RedSalud Santiago (Dr. Garín), Santiago, Chile; and Hospital DIPRECA, Las Condes, Chile (Dr. Abara)., Garín A, Herrera C, Abara S, Cancino J, Neumann H, Del Río J, Besomi J, Villegas D, Tobar C
Jazyk:	angličtina
Zdroj:	Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews [J Am Acad Orthop Surg Glob Res Rev] 2022 Dec 05; Vol. 6 (12). Date of Electronic Publication: 2022 Dec 05 (Print Publication: 2022).
DOI:	10.5435/JAAOSGlobal-D-21-00090
Abstrakt:	Bernese periacetabular osteotomy has diverse complications associated with incisions, such as dehiscence, hypertrophy, depression, and hyperpigmentation on scars, which affect patient satisfaction. The objective was to evaluate aesthetics and satisfaction outcomes in four different incisions. We evaluated 176 incisions in 148 patients. The incisions performed were the original modified (16, group I), straight and shortened, (64, group II), "Z" shaped (16, group III), and oblique inguinal (48, group IV). The scars were evaluated for width and length, development of a hypertrophic scar, depression or hyperpigmentation, and dehiscence and resuture. A scale of satisfaction was applied (points ranging from 1 to 10). The Bartlett test and Kruskal-Wallis test were used. The mean width and length of the scars were 20.3 and 6.8 cm for group I, 6.5 and 8.1 for group II, 12.1 and 7.1 cm for group III, 13 and 1.4 cm for group IV, respectively. Hypertrophic scars were found in 18% in group I, 12.5% in group II, and 31.2% in group III. Depressed scars were found in 10.8% in group I and 7.1% in group II. Hyperpigmentation was found in 16% in groups I and II, 37% in group III, and 2% in group IV. Dehiscence was found in 8.1% in group I and 8.9% in group II. Satisfaction for group IV was nine points. The difference in length and width and satisfaction were statistically significant (P < 0.05). The oblique inguinal incision (group IV) showed a smaller percentage of complications, with an adequate aesthetic result, and a high grade of patient's satisfaction. (Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.)
Databáze:	MEDLINE
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