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

Midterm results of the Chiari pelvic osteotomy for acetabular dysplasia

Asetabuler displazide Chiari pelvik osteotomisinin orta dönem sonuçları

Akın KAPUBAĞLI
Güvenir OKCU
Pages
5–12
Publication Date
2022-10-18
DOI
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⚡ TL;DR(Too Long; Didn't Read)

However, the percentage medialization of the distal fragment (r=0.28, p=0.042), the level of osteotomy (r= -0.6, p

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Objective & Hypothesis:Objectives: We evaluated the midterm clinical and radiographic results of the Chiari pelvic osteotomy in the treatment of acetabular dysplasia.
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Key Findings & Data:Patients and methods: Forty-two hips of 36 patients (23 females, 13 males; mean age 17 years; range 12 to 42 years) were treated with the Chiari pelvic osteotomy for pain­ful acetabular dysplasia.
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Conclusion & Impact:However, the percentage medialization of the distal fragment (r=0.28, p=0.042), the level of osteotomy (r= -0.6, p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: We evaluated the midterm clinical and radiographic results of the Chiari pelvic osteotomy in the treatment of acetabular dysplasia. Patients and methods: Forty-two hips of 36 patients (23 females, 13 males; mean age 17 years; range 12 to 42 years) were treated with the Chiari pelvic osteotomy for pain­ful acetabular dysplasia. Six patients (16.7%) had bilateral surgery. Preoperatively, the mean duration of hip pain and/ or limping was 34.6 months and 12 hips exhibited mild-to-moderate osteoarthrosis. Clinically, the patients were evalu­ated with the Harris hip score and correlations were sought between the hip scores and radiographic measurements. The mean follow-up was 88 months (range 48 to 164 months). Results: After exclusion of one hip that required total hip arthroplasty 12 years after osteotomy, the mean Harris hip score increased from 73±5 preoperatively to 89±6 at the last follow-up. Postoperatively, 35 hips (85.4%) exhib­ited slight or no pain. Clinical results were excellent in 20 hips (48.8%), good in 15 hips (36.6%), and fair in six hips (14.6%). Thirty patients (83.3%) were satisfied with the operation. No significant correlations were found between Harris hip scores and the percentage coverage of the femo­ral head, center-edge angle, and acetabular angle. However, the percentage medialization of the distal fragment (r=0.28, p=0.042), the level of osteotomy (r= -0.6, p

Özet

Asetabuler displazi tedavisinde Chiari osteo­tomisinin orta dönem klinik ve radyografik sonuçlan değerlendirildi. Hastalar ve yöntemler: Ağrılı asetabuler displazi tanı­sıyla 36 hastanın (23 kadın, 13 erkek; ort. yaş 17; dağılım 12-42) 42 kalçasına Chiari pelvik osteotomisi uygulandı. Altı hasta (%16.7) iki taraflı ameliyat edildi. Olguların ağrı ve/veya topallama yakınmalarının ortalama süresi 34.6 ay idi. Ameliyat öncesinde 12 kalçada hafif-orta düzeyde oste-oartroz bulguları vardı. Klinik değerlendirme Harris kalça skoru ile yapıldı. Radyografik ölçümler ile kalça skorları arasındaki ilişki araştırıldı. Ortalama takip süresi 88 ay (dağılım 48-164 ay) idi. Bulgular: Osteotomi sonrası 12. yılda total kalça protezi uygulanan bir hasta değerlendirmeye alınmadı. Harris kalça skoru ameliyat öncesinde ortalama 73±5 puan, son kontrolde 89±6 puan bulundu. Otuz beş kalça (%85.4) ağrısız veya çok hafif ağrılı idi. Yirmi kalçada (%48.8) çok iyi, 15 kalçada (%36.6) iyi, altı kalçada (%14.6) orta sonuç alındı. Otuz hastanın (%83.3) ameliyattan memnun olduğu görüldü. Harris kalça skoru ile femur başı örtün­me yüzdesi, merkez-kenar açısı ve asetabuler açı arasında anlamlı ilişki bulunmadı. Distal fragmanın medializas-yon yüzdesi (r=0.28, p=0.042), osteotomi seviyesi (r= -0.6, p

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Cite This Article

KAPUBAĞLI, A., OKCU, G. (2022). Midterm results of the Chiari pelvic osteotomy for acetabular dysplasia. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 19 - Sayı: 1, 5–12. https://ajindex.com/articles/498781

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