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Journals / Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) / 2008 / Cilt: 19 - Sayı: 1

Shot-term results of Pemberton pericapsular osteotomy for the treatment of developmental dysplasia of the hip

Gelişimsel kalça displazisinde Pemberton perikapsüler osteotomisinin erken dönem sonuları

Cemil ERTÜRK
Pages
13–17
Publication Date
2022-10-18
DOI
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AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Pemberton pericapsular osteotomy wa found to be safe and successful in the short-term follow up of patients with DDH.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: We evaluated the short-term results o Pemberton pericapsular osteotomy for the treatment o developmental dysplasia of the hip (DDH).
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Key Findings & Data:Patients and methods: Fifteen patients (14 girls,boy; mean age 2.5 years; range 1.5 to 3 years) with DD underwent Pemberton pericapsular osteotomy in 20 hip Five patients had bilateral involvement.
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Conclusion & Impact:Conclusion: Pemberton pericapsular osteotomy wa found to be safe and successful in the short-term follow up of patients with DDH.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: We evaluated the short-term results o Pemberton pericapsular osteotomy for the treatment o developmental dysplasia of the hip (DDH). Patients and methods: Fifteen patients (14 girls,boy; mean age 2.5 years; range 1.5 to 3 years) with DD underwent Pemberton pericapsular osteotomy in 20 hip Five patients had bilateral involvement. According to th Tönnis classification, 16 hips (80%) were rated as grad IV, and four hips (20%) were rated as grade III. None o the patients underwent skeletal or skin traction preop eratively. A tricortical trapezoidal iliac graft was place in the osteotomy space and was fixed with a K-wir Shortening and derotation were performed in seven of th high-riding hips. The acetabular index was measured o pre- and postoperative pelvic radiographs. Clinical evalu ations were made according to the McKay criteria, an avascular necrosis of the femur head was assessed usin the Kalamchi-MacEwen criteria. The mean follow-u 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-MacEwe criteria, six hips (30%) developed type I, three hips (15% developed type II avascular necrosis. Postoperative dislo cation, subluxation, or dysplasia were not detected in an of the patients. Conclusion: Pemberton pericapsular osteotomy wa found to be safe and successful in the short-term follow up of patients with DDH.

Özet

Amaç: Gelişimsel kalça displazisinde (GKD) Pemberton perikapsüler osteotomisinin (PPO) erken dönem sonuçları değerlendirildi. Hastalar ve yöntemler: Gelişimsel kalça displazisi nedeniyle 15 hastanın (14 kız, 1 erkek; ort. yaş 2.5; dağılım 1.5-3 yaş) 20 kalçasına Pemberton perikapsüler osteotomisi uygulandı. Beş hastada iki taraflı tutulum vardı. Tönnis sınıflamasına göre 16 kalçada (%80) derece IV, dört kalçada (%20) derece III çıkık vardı. Hiçbir hastaya ameliyat öncesinde iskelet veya cilt traksiyonu uygulanmadı. Tüm kalçalarda osteotomi aralığına trikortikal trapezoid iliyak greft konularak K-teli ile tespit edildi. Yüksek kalça çıkıklı yedi hastada kısaltma ve derotasyon uygulandı. Hastaların ameliyat öncesi ve sonrası pelvis grafilerinden asetabuler indeks ölçüldü. Hastalar klinik olarak McKay ölçütlerine, femur başı avasküler nekrozu açısından Kalamchi-MacEwen ölçütlerine göre değerlendirildi. Ortalama takip süresi 3.6 yıl (dağılım 1-6 yıl) idi. Bulgular: Klinik olarak 10 kalçada (%50) mükemmel, sekiz kalçada (%40) iyi, iki kalçada (%10) orta sonuç alındı. Ameliyat öncesinde ortalama 40° olan asetabuler indeks, son takipte 18° ölçüldü. Kalamchi-MacEwen sınıflamasına göre altı kalçada (%30) tip I, üç kalçada (%15) tip II avasküler nekroz izlendi. Hiçbir olguda yineleyen subluksasyon veya çıkık gelişmedi, displazi saptanmadı. Sonuç: Pemberton perikapsüler osteotomisinin GKD tedavisinde kısa dönem sonuçları güvenli ve başarılı bulundu.

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Cite This Article

ERTÜRK, C. (2022). Shot-term results of Pemberton pericapsular osteotomy for the treatment of developmental dysplasia of the hip. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 19 - Sayı: 1, 13–17. https://ajindex.com/articles/498770

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References (16)

  1. Herring JA, editor. Developmental dysplasia of the hip. In: Tachdjian’s pediatric orthopaedics. Vol. 1, 3rd ed. Philadelphia: W. B. Saunders; 2002. p. 513-654
  2. Haidar RK, Jones RS, Vergroesen DA, Evans GA. Simultaneous open reduction and Salter innominate osteotomy for developmental dysplasia of the hip. J Bone Joint Surg [Br] 1996;78:471-6
  3. Tonnis D. Congenital dysplasia and dislocation of the hip in children and adults. Berlin: Springer-Verlag; 1987
  4. McKay DW. A comparison of the innominate and the pericapsular osteotomy in the treatment of con- genital dislocation of the hip. Clin Orthop Relat Res 1974;(98):124-32
  5. Kalamchi A, MacEwen GD. Avascular necrosis follow- ing treatment of congenital dislocation of the hip. J Bone Joint Surg [Am] 1980;62:876-88
  6. Coleman SS. The incomplete pericapsular (Pemberton) and innominate (Salter) osteotomies; a complete analysis. Clin Orthop Relat Res 1974;(98):116-23
  7. Kessler JI, Stevens PM, Smith JT, Carroll KL. Use of allografts in Pemberton osteotomies. J Pediatr Orthop 2001;21:468-73
  8. Zorer G, Bagatur AE. Single-stage bilateral Pemberton’s pericapsular osteotomy in bilateral developmental dysplasia of the hip. [Article in Turkish] Acta Orthop Traumatol Turc 2002;36:288-94
  9. Pemberton PA. Pericapsular osteotomy of the ilium for treatment of congenital subluxation and dislocation of the hip. J Bone Joint Surg [Am] 1965;47:65-86
  10. Kınık H, Mergen E. Radical reduction for developmental dislocation of the hip (Cakirgil’s procedure). [Article in Turkish] Acta Orthop Traumatol Turc 2007;41 Suppl 1:47-53
  11. Kamegaya M, Shinohara Y, Shinada Y, Moriya H, Koizumi W, Tsuchiya K. The use of a hydroxyapatite block for innominate osteotomy. J Bone Joint Surg [Br] 1994;76:123-6
  12. Faciszewski T, Kiefer GN, Coleman SS. Pemberton osteotomy for residual acetabular dysplasia in chil- dren who have congenital dislocation of the hip. J Bone Joint Surg [Am] 1993;75:643-9
  13. Bagatur AE, Zorer G, Sürel YB. Is sufficient femoral head coverage obtained after Pemberton’s pericapsu lar osteotomy? Evaluation by three-dimensional computed tomographic reconstruction. [Article in Turkish] Acta Orthop Traumatol Turc 2002;36:203-10
  14. Cummings RJ. How the Pemberton innominate osteotomy really works: an animal study. J Surg Orthop Adv 2004;13:166-9
  15. Pekmezci M, Yazıcı M. Salter osteotomy: an overview. [Article in Turkish] Acta Orthop Traumatol Turc 2007;41 Suppl 1:37-46
  16. Slomczykowski M, Mackenzie WG, Stern