Comparison of treatment methods in patients with developmental dysplasia of the hip.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-07-12 eCollection Date: 2024-01-01 DOI:10.55730/1300-0144.5885

Burhan Kurtuluş

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引用次数: 0

Abstract

Background/aim: This study aimed to compare the results of Pemberton osteotomy (PO), Salter innominate osteotomy (SO), open reduction (OR), and closed reduction (CR) applied in the treatment of developmental dysplasia of the hip (DDH).

Materials and methods: Included in the study were 101 hips of 82 patients treated at our orthopedic clinic between 2017 and 2023. The patients were evaluated preoperatively, postoperatively, and at the final follow-up. The results were evaluated based on Barret's clinical and Severin's radiological classifications. Those who developed avascular necrosis (AVN) were evaluated based on Bucholz-Ogden's classification.

Results: In terms of the preoperative acetabular angles (AAs), those for hips treated with PO were significantly higher than those of the other three, and those treated with SO were significantly higher than those of the other two (OR and CR) (p < 0.001). There was a significant difference in the final follow-up AAs of those treated with SO and PO compared to those treated with OR and CR (p < 0.001). The best corrections were achieved with PO (average: 27.94 ± 4.89°). There was a significant difference between PO and OR, and PO and CR in terms of the preoperative collodiaphyseal angles (CDAs) (p < 0.05). The greatest decrease was in those treated with PO (average: 22.44 ± 9.45°). AVN developed at various stages in 15 of 79 hips (14.85%) that were treated surgically. While AVN developed at a rate of 22.22% with PO, 18.18% with SO, and 17.85% with OR, no AVN developed in the 22 hips treated with CR.

Conclusion: Understanding normal and abnormal values by age is essential for selecting appropriate treatments. Acetabulum-related surgeries should be planned for patients over 1.5 years of age with an AA above 30°. Early diagnosis and CR treatments yield excellent results and low AVN rates. Various DDH treatments in our clinic have shown low AVN rates, indicating safety and efficacy.

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髋关节发育不良患者治疗方法的比较。

背景/目的：本研究旨在比较Pemberton截骨术（PO）、Salter椎弓根截骨术（SO）、开放复位术（OR）和闭合复位术（CR）在髋关节发育不良（DDH）治疗中的应用效果：研究对象包括2017年至2023年期间在我院骨科诊所接受治疗的82名患者的101个髋关节。对患者进行了术前、术后和最终随访评估。结果根据巴雷特的临床和塞弗林的放射学分类进行评估。出现血管性坏死（AVN）的患者则根据布霍尔茨-奥格登（Bucholz-Ogden）的分类进行评估：就术前髋臼角（AAs）而言，采用PO治疗的髋关节明显高于其他三种，而采用SO治疗的髋关节明显高于其他两种（OR和CR）（P < 0.001）。采用SO和PO治疗的患者与采用OR和CR治疗的患者相比，其最终随访AAs有明显差异（p < 0.001）。PO的矫正效果最好（平均：27.94 ± 4.89°）。就术前骺软骨角（CDA）而言，PO 和 OR 以及 PO 和 CR 之间存在明显差异（p < 0.05）。接受 PO 治疗的患者的 CDA 下降幅度最大（平均：22.44 ± 9.45°）。在接受手术治疗的 79 个髋关节中，有 15 个（14.85%）在不同阶段出现了 AVN。在接受 PO、SO 和 OR 治疗的髋关节中，AVN 的发生率分别为 22.22%、18.18% 和 17.85%，而在接受 CR 治疗的 22 个髋关节中，没有发生 AVN：结论：了解各年龄段的正常值和异常值对于选择适当的治疗方法至关重要。结论：了解各年龄段的正常值和异常值对选择适当的治疗方法至关重要。对于年龄超过 1.5 岁、AA 超过 30° 的患者，应计划进行髋臼相关手术。早期诊断和 CR 治疗效果极佳，AVN 发生率低。我们诊所的各种 DDH 治疗方法均显示出较低的 AVN 发生率，表明其安全性和有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.