A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip
Yıl: 2019 Cilt: 30 Sayı: 1 Sayfa Aralığı: 38 - 45 Metin Dili: İngilizce DOI: 10.5606/ehc.2019.61744 İndeks Tarihi: 22-11-2019
A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip
Öz: Objectives: This study aims to describe our standardized method for evaluating the tension of reduction around the hip joint during open reduction in patients with developmental dysplasia of the hip (DDH). Patients and methods: We retrospectively evaluated 67 pediatric patients (8 males, 59 females; mean age 21.9±11.1 months; range, 9 to 67 months) who were performed open reduction or open reduction with concomitant pelvic and/or femoral osteotomy for DDH at our clinic between January 2009 and March 2014. The amount of distraction between femoral head and acetabulum was measured to evaluate the tension of reduction during surgery. Factors associated with avascular necrosis (AVN) such as age at reduction, presence of concomitant pelvic and/or femoral shortening osteotomy, and severity of dislocation were determined. Results: Statistically significant association was found between the presence of femoral osteotomy, severity of dislocation, and amount of distraction and AVN. The incidence of AVN was 38.8% (10 grade I, 12 grade II, 3 grade III, and one grade IV AVN). Cut-off value for the amount of distraction to prevent the development of AVN was calculated as 4 mm. Conclusion: According to our study findings, we advise using our technique for the evaluation of the tension of reduction around the hip joint and performing tension free reduction in the treatment of DDH to minimize the risk of AVN development.
Anahtar Kelime: Konular:
Gelişimsel kalça displazili hastalarda açık redüksiyon sırasında redüksiyon sıkılığının değerlendirilmesi için yeni bir yöntem
Öz: Amaç: Bu çalışmada, gelişimsel kalça displazisi (GKD) olan hastalarda açık redüksiyon sırasında kalça eklemi çevresinde redüksiyonun sıkılığını değerlendirmek için standardize edilmiş yöntemimiz açıklandı. Hastalar ve yöntemler: Ocak 2009 - Mart 2014 tarihleri arasında kliniğimizde GKD nedeniyle açık redüksiyon veya açık redüksiyon ile birlikte pelvik veya femoral osteotomi yapılan 67 pediatrik hasta (8 erkek, 59 kız; ort. yaş 21.9±11.1 ay; dağılım, 9-67 ay) retrospektif olarak değerlendirildi. Cerrahi sırasında redüksiyon sıkılığını değerlendirmek için femur başı ile asetabulum arasındaki distraksiyon miktarı ölçüldü. Redüksiyon sırasındaki yaş, eşlik eden pelvik veya femoral kısaltma osteotomisi varlığı ve dislokasyon şiddeti gibi avasküler nekroz (AVN) ile ilişkili faktörler belirlendi. Bulgular: Avasküler nekroz ile femoral ostetomi varlığı, dislokasyon şiddeti ve distraksiyon miktarı arasında istatistiksel olarak anlamlı ilişki bulundu. Avasküler nekroz insidansı %38.8 idi (10 evre I, 12 evre II, 3 evre III ve bir evre IV AVN). Avasküler nekroz gelişimini engellemek için gereken distraksiyon miktarı için eşik değer 4 mm olarak hesaplandı. Sonuç: Çalışma bulgularımıza göre, GKD tedavisinde AVN gelişimi riskini en aza indirmek için kalça eklemi çevresinde redüksiyon sıkılığının değerlendirilmesi amacıyla yöntemimizin kullanılmasını ve sıkı olmayan bir redüksiyon yapılmasını öneriyoruz.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | ADANIR O, Yuksel S, BEYTEMÜR O (2019). A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip. , 38 - 45. 10.5606/ehc.2019.61744 |
| Chicago | ADANIR Oktay,Yuksel Serdar,BEYTEMÜR Ozan A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip. (2019): 38 - 45. 10.5606/ehc.2019.61744 |
| MLA | ADANIR Oktay,Yuksel Serdar,BEYTEMÜR Ozan A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip. , 2019, ss.38 - 45. 10.5606/ehc.2019.61744 |
| AMA | ADANIR O,Yuksel S,BEYTEMÜR O A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip. . 2019; 38 - 45. 10.5606/ehc.2019.61744 |
| Vancouver | ADANIR O,Yuksel S,BEYTEMÜR O A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip. . 2019; 38 - 45. 10.5606/ehc.2019.61744 |
| IEEE | ADANIR O,Yuksel S,BEYTEMÜR O "A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip." , ss.38 - 45, 2019. 10.5606/ehc.2019.61744 |
| ISNAD | ADANIR, Oktay vd. "A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip". (2019), 38-45. https://doi.org/10.5606/ehc.2019.61744 |
| APA | ADANIR O, Yuksel S, BEYTEMÜR O (2019). A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30(1), 38 - 45. 10.5606/ehc.2019.61744 |
| Chicago | ADANIR Oktay,Yuksel Serdar,BEYTEMÜR Ozan A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30, no.1 (2019): 38 - 45. 10.5606/ehc.2019.61744 |
| MLA | ADANIR Oktay,Yuksel Serdar,BEYTEMÜR Ozan A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), vol.30, no.1, 2019, ss.38 - 45. 10.5606/ehc.2019.61744 |
| AMA | ADANIR O,Yuksel S,BEYTEMÜR O A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(1): 38 - 45. 10.5606/ehc.2019.61744 |
| Vancouver | ADANIR O,Yuksel S,BEYTEMÜR O A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(1): 38 - 45. 10.5606/ehc.2019.61744 |
| IEEE | ADANIR O,Yuksel S,BEYTEMÜR O "A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip." Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30, ss.38 - 45, 2019. 10.5606/ehc.2019.61744 |
| ISNAD | ADANIR, Oktay vd. "A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip". Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30/1 (2019), 38-45. https://doi.org/10.5606/ehc.2019.61744 |
