Short-term results of Pemberton pericapsular osteotomy for the treatment of developmental dysplasia of the hip Gelişimsel kalça displazisinde Pemberton perikapsüler osteotomisinin erken dönem sonuçlari
Eklem Hastaliklari ve Cerrahisi, cilt.19, sa.1, ss.13-17, 2008 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 19 Sayı: 1
- Basım Tarihi: 2008
- Dergi Adı: Eklem Hastaliklari ve Cerrahisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.13-17
- Anahtar Kelimeler: Acetabulum/surgery, Child, Congenital/surgery, Hip dislocation, Osteotomy/methods
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objectives: We evaluated the short-term results of Pemberton pericapsular osteotomy for the treatment of developmental dysplasia of the hip (DDH). Patients and methods: Fifteen patients (14 girls, 1 boy; mean age 2.5 years; range 1.5 to 3 years) with DDH underwent Pemberton pericapsular osteotomy in 20 hips. Five patients had bilateral involvement. According to the Tönnis classification, 16 hips (80%) were rated as grade IV, and four hips (20%) were rated as grade III. None of the patients underwent skeletal or skin traction preoperatively. A tricortical trapezoidal iliac graft was placed in the osteotomy space and was fixed with a K-wire. Shortening and derotation were performed in seven of the high-riding hips. The acetabular index was measured on pre- and postoperative pelvic radiographs. Clinical evaluations were made according to the McKay criteria, and avascular necrosis of the femur head was assessed using the Kalamchi-MacEwen criteria. The mean follow-up period was 3.6 years (range 1 to 6 years). Results: Clinical results were excellent in 10 hips (50%), good in eight hips (40%), and moderate in two hips (10%). The mean acetabular index decreased from 40° to 18° postoperatively. According to the Kalamchi-MacEwen criteria, six hips (30%) developed type I, three hips (15%) developed type II avascular necrosis. Postoperative dislocation, subluxation, or dysplasia were not detected in any of the patients. Conclusion: Pemberton pericapsular osteotomy was found to be safe and successful in the short-term follow-up of patients with DDH.