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Journals / Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) / 2007 / Cilt: 18 - Sayı: 1

Midterm results of Salter and Pemberton pelvic osteotomies for developmental dysplasia of the hip

Gelişimsel kalça displazisinde Salter ve Pemberton pelvik osteotomi uygulamalarının orta dönem sonuçları

Oktay BELHAN
Mustafa İNCESU
Lokman KARAKURT
Pages
7–12
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Both osteotomy methods were found to be safe and successful for the treatment of DDH with anterolateral acetabular deficiency.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: The aim of this study was to compare the clinical and radiographic results of Salter and Pemberton pelvic osteotomies in developmental dysplasia of the hip (DDH).
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Key Findings & Data:Patients and methods: Thirty-three patients (43 hips) with DDH were retrospectively evaluated.
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Conclusion & Impact:Conclusion: Both osteotomy methods were found to be safe and successful for the treatment of DDH with anterolateral acetabular deficiency.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: The aim of this study was to compare the clinical and radiographic results of Salter and Pemberton pelvic osteotomies in developmental dysplasia of the hip (DDH). Patients and methods: Thirty-three patients (43 hips) with DDH were retrospectively evaluated. Twenty-three patients (29 hips) underwent Salter (SPO), 10 patients (14 hips) underwent Pemberton (PPO) osteotomies. The mean age was 40.5 months (18 to 130 months) in the SPO group, and 27 months (18 to 52 months) in the PPO group. One-staged surgery was performed in all the patients. Following open reduction, pelvic and/or femoral osteotomies were performed. In patients with a thin iliac wing and adequate acetabular width, PPO was preferred, otherwise SPO was the choice. The acetabular index (AI) and center-edge (CE) angles were measured on pre- and postoperative radiographs. Radiographic and clinical results were assessed according to the Severin and modified McKay criteria, respectively. The mean follow-up was 38 months (12 to 75 months) in the SPO group, and 33 months (12 to 64 months) in the PPO group. Results: The mean postoperative AI and CE angles significantly improved in both groups (p0.05). Conclusion: Both osteotomy methods were found to be safe and successful for the treatment of DDH with anterolateral acetabular deficiency.

Özet

Amaç: Bu çalışmada, gelişimsel kalça displazisi (GKD) tedavisinde Salter (SPO) ve Pemberton (PPO) pelvik osteotomilerinin klinik ve radyografik sonuçları karşılaştırıldı. Hastalar ve yöntemler: Çalışmada, GKD’li 33 hastanın 43 kalçası geriye dönük olarak değerlendirildi.Yirmi üç hastaya (29 kalça) SPO, 10 hastaya (14 kalça) PPO uygulandı. Ortalama yaş SPO grubunda 40.5 ay (dağılım 18-130 ay), PPO grubunda 27 ay (dağılım 18-52 ay) idi. Tüm hastalarda tek aşamalı cerrahi uygulandı. Öncelikle açık redüksiyon denendi, stabil redüksiyon sağlanamayan hastalara aynı seansta femoral ve/veya pelvik osteotomi yapıldı. İliyak kanat kalınlığı ince ve asetabulum genişliği uygun ise PPO, yoksa SPO yapıldı. Hastaların ameliyat öncesi ve sonrasında pelvis grafilerinden asetabuler indeks (Aİ) ve merkez-kenar açısı (MKA) ölçüldü. Radyografik değerlendirme Severin ölçütlerine göre, klinik değerlendirme modifiye McKay ölçütlerine göre yapıldı. Ortalama takip süresi SPO grubunda 38 ay (dağılım 12-75 ay), PPO grubunda 33 ay (12-64 ay) idi. Bulgular: Salter ve Pemberton osteotomi gruplarında Aİ’deki düzelme sırasıyla 21.9° (%54.6) ve 21.4° (%58), MKA’daki düzelme 28.7° ve 27.9° bulundu. İki grup içinde Aİ ve MKA’daki düzelme tedavi öncesine göre anlamlı idi (p0.05). Sonuç: Her iki pelvik osteotomi yöntemi de, anterolateral örtünme sorunu olan asetabuler displazilerin tedavisinde güvenli ve başarılı bulundu.

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Cite This Article

BELHAN, O., İNCESU, M., KARAKURT, L. (2022). Midterm results of Salter and Pemberton pelvic osteotomies for developmental dysplasia of the hip. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 18 - Sayı: 1, 7–12. https://ajindex.com/articles/498819

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References (14)

  1. Herring JA. Developmental dysplasia of the hip. In: Herring JA, editor. Tachdjian’s pediatric orthopaedics. Vol. 1, 3rd ed. Philadelphia: W. B. Saunders; 2002. p. 513-654
  2. Casey VF, Sucato DJ. Pelvic osteotomies for hip dysplasia. Current Opinion in Orthopaedics 2005;16:472-7
  3. Faciszewski T, Kiefer GN, Coleman SS. Pemberton osteotomy for residual acetabular dysplasia in children who have congenital dislocation of the hip. J Bone Joint Surg [Am] 1993;75:643-9
  4. Severin E. Contribution to the knowledge of congenital dislocation of the hip joint. Late results of closed reduction and arthrographic studies of recent cases. Acta Chir Scand 1941; 84(Suppl 63);1-142
  5. Barrett WP, Staheli LT, Chew DE. The effectiveness of the Salter innominate osteotomy in the treatment of congenital dislocation of the hip. J Bone Joint Surg [Am] 1986;68:79-87
  6. Salter RB, Kostuik J, Dallas S. Avascular necrosis of the femoral head as a complication of treatment for congenital dislocation of the hip in young children: a clinical and experimental investigation. Can J Surg 1969; 12:44-61
  7. Bucholz RW, Ogden JA. Patterns of ischemic necrosis of the proximal femur in nonoperatively treated congenital hip disease. In: The hip: Proceedings of the 6th Open Scientific Meeting of the Hip Society. St. Louis: Mosby; 1978. p. 43-63
  8. Vengust R, Antolic V, Srakar F. Salter osteotomy for treatment of acetabular dysplasia in developmental dysplasia of the hip in patients under 10 years. J Pediatr Orthop B 2001;10:30-6
  9. Tönnis D. Congenital dysplasia and dislocation of the hip in children and adults. Berlin: Springer-Verlag; 1987
  10. Bohm P, Brzuske A. Salter innominate osteotomy for the treatment of developmental dysplasia of the hip in children: results of seventy-three consecutive osteotomies after twenty-six to thirty-five years of follow- up. J Bone Joint Surg [Am] 2002;84:178-86
  11. Gulman B, Tuncay IC, Dabak N, Karaismailoglu N. Salter’s innominate osteotomy in the treatment of congenital hip dislocation: a long-term review. J Pediatr Orthop 1994;14:662-6
  12. Ito H, Ooura H, Kobayashi M, Matsuno T. Middleterm results of Salter innominate osteotomy. Clin Orthop Relat Res 2001;(387):156-64
  13. Karakurt L, Yilmaz E, Incesu M, Belhan O, Serin E. Early results of treatment for developmental dysplasia of the hip in children between the ages of one and four years. [Article in Turkish] Acta Orthop Traumatol Turc 2004;38:8-15
  14. Lin CJ, Lin YT, Lai KA. Intraoperative inst