A Comparative Study of Salter Versus Pemberton Osteotomy in Open Reduction of Developmental Dysplastic Hips and Clinical Evaluation on Bhatti’s Functional Score System
| Autor: | Kiran Jaffri, Muhammad Yousuf Bhatti, Zeehan Naeem, Imamuddin Abbasi, Anisuddin Bhatti |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty medicine.medical_treatment Avascular necrosis 030204 cardiovascular system & hematology Osteotomy 03 medical and health sciences Femoral head 0302 clinical medicine salter osteotomy bhatti’s functional score Deformity Medicine Femoroacetabular impingement Subluxation business.industry General Engineering medicine.disease Acetabulum Surgery Orthopedics medicine.anatomical_structure pemberton acetabuloplasty developmental dysplastic hips Acetabuloplasty acetabular index medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.12626 |
| Popis: | Objective The study was aimed to compare the outcome of Salter’s and Pemberton’s osteotomy to achieve adequate acetabular coverage in the open reduction of developmental dysplastic hips (DDH). The functional outcome was evaluated as measured on Bhatti’s Functional Score System (BFSS). Patients and methods The study includes 60 children with 82 hips of developmental dysplasia in walking-age children. They were operated on for open reduction and Salter’s or Pemberton’s pelvic osteotomy to achieve concentric anatomical reduction with good anterolateral coverage of the femoral head. Patients for Salter’s and Pemberton's osteotomies were randomly selected. Preference was given to Pemberton’s osteotomy in cases with double/irregular acetabulum and in bilateral DDH. All patients were operated on by a single surgeon from January 2014 to December 2016 and were followed up till June 2020. The overall radiological outcome was assessed on Severin’s classification, comparing the pre and postoperative acetabular index (AI) and the clinical outcome on Bhatti’s Functional Score System. Results The overall functional behavior on Bhatti’s Functional Scoring revealed satisfactory outcome (excellent and good) in 73.17% (60/82) hips. On the radiological evaluation, 85.36% (70/82) hips achieved satisfactory development of hips (Severin Class IAB and IIAB) while 12.19% (10) hips developed a moderate deformity of the hip (Severin Class III; p>0.05). Comparing outcomes in both the Pemberton and Salter groups, the acetabular index significantly reduced after both procedures (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|