Funkční a radiologické výsledky posteromediální limitované chirurgické terapie u vývojové dysplazie kyčelních kloubů

Autor: Uzel, Kadir, Gem, Mehmet, Şahin, İlhami, Ziyadanoğulları, Mehmet Onur, Eskandari, Mohammad Mehdi, Arslan, H.
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Popis: 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
Databáze: OpenAIRE