Clinical and radiological outcomes of Salter versus Pemberton osteotomies in the management of developmental dysplasia of the hip: A retrospective comparative study.

IF 1.1 4区医学 Q3 ORTHOPEDICS

Acta orthopaedica et traumatologica turcica Pub Date : 2022-03-01 DOI:10.5152/j.aott.2022.20401

Akif Mirioğlu, Ö. Biçer, Mustafa Tekin, M. Deveci, Cenk Özkan, M. Bağır

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引用次数: 0

Abstract

OBJECTIVE The aim of this study was to investigate whether there is a relationship between Salter and Pemberton pelvic osteotomies and avascular necrosis of femoral head in the management of developmental dysplasia of the hip (DDH). METHODS This retrospective study included 69 hips of 52 patients aged between 12-36 months, diagnosed as DDH who had undergone either Salter or Pemberton pelvic osteotomy with Smith Petersen approach. There were 35 patients in Salter Pelvic Osteotomy and 34 patients in Pemberton Pelvic Osteotomy groups. Before the treatment of DDH, Tönnis classification was used, preoperative and 24th month postoperative Acetabular Index (AI) angles were measured. Kalamchi-MacEwen grades of avascular necrosis were determined in terms of presence of avascular necrosis of the femoral head. RESULTS There were no significant differences between two osteotomy groups at the end of mid-term follow up in terms of the radiological parameters and avascular necrosis of femoral head. However it was found that the increased avascular necrosis incidence was significantly associated with Tönnis grade 4 hips. CONCLUSION Salter and Pemberton osteotomies can be both used safely in the treatment of DDH regarding their effect on the femoral head. LEVEL OF EVIDENCE Level III, Therapeutic Study.

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Salter和Pemberton截骨术治疗髋关节发育不良的临床和影像学结果:一项回顾性比较研究。

目的本研究旨在探讨Salter和Pemberton骨盆截骨术与股骨头缺血性坏死在治疗发育性髋关节发育不良（DDH）中是否存在关系。方法本回顾性研究包括52名年龄在12-36个月之间的患者中的69个髋关节，这些患者被诊断为DDH，并接受了Salter或Pemberton骨盆截骨，采用Smith-Petersen方法。Salter骨盆截骨术组35例，Pemberton骨盆截骨组34例。DDH治疗前采用Tönnis分类法，测量术前和术后24个月髋臼指数（AI）角度。根据股骨头缺血性坏死的存在来确定Kalamchi MacEwen级别的缺血性坏死。结果在中期随访结束时，两个截骨组在放射学参数和股骨头缺血性坏死方面没有显著差异。然而，研究发现，缺血性坏死发生率的增加与Tönnis 4级髋关节显著相关。结论Salter和Pemberton截骨术对股骨头的影响都可以安全地用于DDH的治疗。证据水平III级，治疗研究。

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

Acta orthopaedica et traumatologica turcica ORTHOPEDICS-

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English. The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication. The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.