Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy

Gunay, Cuneyd; Turanlı, Sacit; Atalar, Hakan; Ulucaköy, Coşkun; Najafov, Elshan

doi:10.20515/otd.1020776

Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy

Cüneyd GÜNAY, (Eskişehir Osmangazi Üniversitesi, Tıp Fakültesi, Ortopedi Anabilim Dalı Travmatoloji, Eskişehir, Türkiye)

Hakan Atalar, (Gazi Üniversitesi, Tıp Fakültesi, Ortopedi Bölümü ve Travmatoloji, Ankara, Türkiye)

Coşkun ULUCAKÖY, (Gazi Üniversitesi, Tıp Fakültesi, Ortopedi Bölümü ve Travmatoloji, Ankara, Türkiye)

Elshan Najafov, (Gazi Üniversitesi, Tıp Fakültesi, Ortopedi Bölümü ve Travmatoloji, Ankara, Türkiye)

Sacit TURANLI (Gazi Üniversitesi, Tıp Fakültesi, Ortopedi Bölümü ve Travmatoloji, Ankara, Türkiye)

Osmangazi Tıp Dergisi

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Yıl: 2022 Cilt: 44 Sayı: 2 Sayfa Aralığı: 243 - 249 Metin Dili: İngilizce DOI: 10.20515/otd.1020776 İndeks Tarihi: 08-09-2022

Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy

Öz:

The aim of this study was to show the clinical and radiographic mid-term results of Pembersal and femoral osteotomy without open reduction in patients with mild dysplasia of the hip joint. This case series included 13 Developmental Dysplasia of the Hip (DDH) patients (13 hips), who underwent a combination of Pembersal and femoral osteotomy without open reduction between January 2014 and June 2020. The patients comprised 12 females (93%) and 1 male (8%), with a mean age at surgery of 24.29.40 months (range: 17-51 months) and the average follow-up was 31.413.2 months (range: 12-49 months). The mean acetabular index decreased significantly from 36.604.870 (range:300- 460) preoperatively, to 1801.410 (range: 150-210) at the final follow-up examination (p<0.001). Avascular necrosis (AVN) was not seen in any patient. The results showed that this kind of surgical procedure seems to be successful at the mid-term follow-up in mild hip dysplasia patients. The most important point was that avascular necrosis was not seen in any of the patients with this technique.

Anahtar Kelime: Developmental hip dysplasia Pelvic osteotomy Avascular necrosis Hip joint Reduction

Hafif Kalça Displazisinin Pembersal ve Femoral Ostetomi Kombinasyonlu Cerrahi Tedavisi

Öz:

Bu çalışmanın amacı kalça ekleminde hafif displazisi olan hastalarda açık redüksiyon olmadan Pembersal ve femoral osteotominin orta dönem klinik ve radyografik sonuçlarını göstermektir. Bu vaka serisi Ocak 2014 ve Haziran 2020 tarihleri arasında açık redüksiyon olmadan Pembersal ve femoral osteotomi uygulanan 13 Gelişimsel Kalça Displazisi (GKD) hastasını (13 kalça) içermektedir. Hastaların 12’ si kız (%93) ve 1’ i erkek (%8), cerrahi sırasındaki ortalama yaş 24.29.40 ay (aralık: 17-51 ay) ve ortalama takip süresi ise 31.413.2 ay idi (aralık: 12-49 ay). Ortalama asetabular indeks son takipte 36.604.870 (aralık: 300- 460) den önemli derecede düşerek 1801.410 (aralık: 150-210) geriledi (p<0.001). Hiçbir hastada avasküler nekroz görülmedi. Elde edilen bu sonuçlar bu tarz cerrahi girişimin hafif kalça displazili hastalarda orta dönem takiplerde başarılı olduğunu göstermektedir. En önemli nokta ise bu teknikle hiçbir hastada avasküler nekroz görülmemiş olmasıdır.

Anahtar Kelime: Gelişimsel kalça displazisi Pelvik osteotomi Avasküler nekroz Kalça eklemi Redüksiyon

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Gunay C, Atalar H, Ulucaköy C, Najafov E, Turanlı S (2022). Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy. , 243 - 249. 10.20515/otd.1020776
Chicago	Gunay Cuneyd,Atalar Hakan,Ulucaköy Coşkun,Najafov Elshan,Turanlı Sacit Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy. (2022): 243 - 249. 10.20515/otd.1020776
MLA	Gunay Cuneyd,Atalar Hakan,Ulucaköy Coşkun,Najafov Elshan,Turanlı Sacit Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy. , 2022, ss.243 - 249. 10.20515/otd.1020776
AMA	Gunay C,Atalar H,Ulucaköy C,Najafov E,Turanlı S Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy. . 2022; 243 - 249. 10.20515/otd.1020776
Vancouver	Gunay C,Atalar H,Ulucaköy C,Najafov E,Turanlı S Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy. . 2022; 243 - 249. 10.20515/otd.1020776
IEEE	Gunay C,Atalar H,Ulucaköy C,Najafov E,Turanlı S "Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy." , ss.243 - 249, 2022. 10.20515/otd.1020776
ISNAD	Gunay, Cuneyd vd. "Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy". (2022), 243-249. https://doi.org/10.20515/otd.1020776

APA	Gunay C, Atalar H, Ulucaköy C, Najafov E, Turanlı S (2022). Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy. Osmangazi Tıp Dergisi, 44(2), 243 - 249. 10.20515/otd.1020776
Chicago	Gunay Cuneyd,Atalar Hakan,Ulucaköy Coşkun,Najafov Elshan,Turanlı Sacit Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy. Osmangazi Tıp Dergisi 44, no.2 (2022): 243 - 249. 10.20515/otd.1020776
MLA	Gunay Cuneyd,Atalar Hakan,Ulucaköy Coşkun,Najafov Elshan,Turanlı Sacit Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy. Osmangazi Tıp Dergisi, vol.44, no.2, 2022, ss.243 - 249. 10.20515/otd.1020776
AMA	Gunay C,Atalar H,Ulucaköy C,Najafov E,Turanlı S Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy. Osmangazi Tıp Dergisi. 2022; 44(2): 243 - 249. 10.20515/otd.1020776
Vancouver	Gunay C,Atalar H,Ulucaköy C,Najafov E,Turanlı S Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy. Osmangazi Tıp Dergisi. 2022; 44(2): 243 - 249. 10.20515/otd.1020776
IEEE	Gunay C,Atalar H,Ulucaköy C,Najafov E,Turanlı S "Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy." Osmangazi Tıp Dergisi, 44, ss.243 - 249, 2022. 10.20515/otd.1020776
ISNAD	Gunay, Cuneyd vd. "Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy". Osmangazi Tıp Dergisi 44/2 (2022), 243-249. https://doi.org/10.20515/otd.1020776