Incomplete triple pelvic osteotomy for the surgical treatment of dysplasia of the hip in adolescents and adults
Küçük Resim Yok
Tarih
2005
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
The British Editorial Society of Bone & Joint Surgery
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
We treated 26 hips (24 consecutive patients) with residual dysplasia by a technique of incomplete triple pelvic osteotomy. The mean age of the patients was 21.6 years. The mean values for the pre-operative centre-edge angle of Wiberg, the refined centre-edge angle, the acetabular angle of Sharp, the modified acetabular angle and femoral head lateralisation were 7.7°, ?3.1°, 49.3°, 53.2° and 17.2 mm, respectively. After a mean follow-up of 3.3 years they were 27.0°, 13.0°, 38.9°, 44.3° and 15.9 mm, respectively (p < 0.05). The osteoarthritic grading changed adversely in one hip. The mean pre-operative and latest Harris hip scores were 74.9 and 93.0, respectively (p < 0.05). This technique provides a stable osteotomy with maintenance of the posterior column which allows early mobilisation and minimal internal fixation. The technique is not complex and requires minimal blood transfusion. The use of an image intensifier is not necessary and harvesting of a subcristal bone graft avoids post-operative complications at the donor site. Developmental dysplasia of the hip (DDH) may cause symptoms in later life. Surgical treatment by redirectional pelvic osteotomy is often recommended in adolescents and young adults.1 A technique of triple pelvic osteotomy was first described by LeCoeur,2 nearly 40 years ago, and since then several types of acetabular redirectional osteotomy including single, double and triple pelvic osteotomies and periacetabular and rotational acetabular procedures have been described.3–6 In this prospective study, we have evaluated a modification of triple pelvic osteotomy including an incomplete curvilinear iliac osteotomy.
Açıklama
Anahtar Kelimeler
Kaynak
The Bone and Joint Journal
WoS Q Değeri
Scopus Q Değeri
Q1
Cilt
87
Sayı
6
Künye
Eren, A., Ömeroğlu, H., Güven, M. vd. (2005). Incomplete triple pelvic osteotomy for the surgical treatment of dysplasia of the hip in adolescents and adults. The Bone and Joint Journal, The British Editorial Society of Bone & Joint Surgery. 87(6), s. 790-795.
