{"title":"髋关节发育性脱位病例中孤立髋臼置换术的早期和中期放射学结果","authors":"A. Baymurat","doi":"10.30733/std.2023.01696","DOIUrl":null,"url":null,"abstract":"Aim: Early diagnosis and timely care is important in patients with Developmental Hip Dysplasia (DDH). Late presenting or neglected patients may \nrequire various osteotomy procedures. There is a limited number of articles in the literature on Pembersal osteotomy in DDH surgery. The aim of \nthis study was to assess the outcomes of isolated Pembersal osteotomy in children over 18 months of age with DDH.\n Materials and Methods: A retrospective analysis was made of the outcomes of patients who underwent Pembersal osteotomy for DDH at our \nclinic from 2014 to 2021. The study included 9 children (7 girls, 2 boys) aged between 19 and 36 months with at least 2 years of follow-up who \nunderwent isolated periacetabular Pembersal osteotomy with open reduction. Preoperative, early postoperative, 6 weeks postoperative and final \nfollow-up radiographs were evaluated and Wiberg's centre-edge angle (CEA), the acetabular index (AI) and Tönnis grades were noted. \nResults: The mean age of the patients was 28.75 months and the follow-up period was 50.33 months. CEA and AI showed improvement in the early \npostoperative period and this improvement continued in the later periods. Tönnis staging showed postoperative improvement in all patients, and \nthis improvement continued in the early postoperative period and on the 6-week follow-up radiographs. At the final follow-up examination, 3 \nhips had CEA <20º, AI >20º and Tönnis stage ≥2 and these 3 hips were considered as a radiologically poor outcome. \nConclusion: This study demonstrated that isolated Pembersal osteotomy is an effective and safe option for the treatment of developmental \ndysplasia of the hip, with improvement in acetabular index and other radiological parameters.\n Keywords: Developmental dysplasia of the hip, periacetabular osteotomy, Pembersal osteotomy, centre-edge angle, acetabular index","PeriodicalId":332557,"journal":{"name":"Selcuk Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Early And Mid-Term Radiological Results of Isolated Pembersal Procedure in Cases of Developmental Dislocation of The Hip\",\"authors\":\"A. Baymurat\",\"doi\":\"10.30733/std.2023.01696\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Aim: Early diagnosis and timely care is important in patients with Developmental Hip Dysplasia (DDH). Late presenting or neglected patients may \\nrequire various osteotomy procedures. There is a limited number of articles in the literature on Pembersal osteotomy in DDH surgery. The aim of \\nthis study was to assess the outcomes of isolated Pembersal osteotomy in children over 18 months of age with DDH.\\n Materials and Methods: A retrospective analysis was made of the outcomes of patients who underwent Pembersal osteotomy for DDH at our \\nclinic from 2014 to 2021. The study included 9 children (7 girls, 2 boys) aged between 19 and 36 months with at least 2 years of follow-up who \\nunderwent isolated periacetabular Pembersal osteotomy with open reduction. Preoperative, early postoperative, 6 weeks postoperative and final \\nfollow-up radiographs were evaluated and Wiberg's centre-edge angle (CEA), the acetabular index (AI) and Tönnis grades were noted. \\nResults: The mean age of the patients was 28.75 months and the follow-up period was 50.33 months. CEA and AI showed improvement in the early \\npostoperative period and this improvement continued in the later periods. Tönnis staging showed postoperative improvement in all patients, and \\nthis improvement continued in the early postoperative period and on the 6-week follow-up radiographs. At the final follow-up examination, 3 \\nhips had CEA <20º, AI >20º and Tönnis stage ≥2 and these 3 hips were considered as a radiologically poor outcome. \\nConclusion: This study demonstrated that isolated Pembersal osteotomy is an effective and safe option for the treatment of developmental \\ndysplasia of the hip, with improvement in acetabular index and other radiological parameters.\\n Keywords: Developmental dysplasia of the hip, periacetabular osteotomy, Pembersal osteotomy, centre-edge angle, acetabular index\",\"PeriodicalId\":332557,\"journal\":{\"name\":\"Selcuk Tip Dergisi\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-03-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Selcuk Tip Dergisi\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.30733/std.2023.01696\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Selcuk Tip Dergisi","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.30733/std.2023.01696","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Early And Mid-Term Radiological Results of Isolated Pembersal Procedure in Cases of Developmental Dislocation of The Hip
Aim: Early diagnosis and timely care is important in patients with Developmental Hip Dysplasia (DDH). Late presenting or neglected patients may
require various osteotomy procedures. There is a limited number of articles in the literature on Pembersal osteotomy in DDH surgery. The aim of
this study was to assess the outcomes of isolated Pembersal osteotomy in children over 18 months of age with DDH.
Materials and Methods: A retrospective analysis was made of the outcomes of patients who underwent Pembersal osteotomy for DDH at our
clinic from 2014 to 2021. The study included 9 children (7 girls, 2 boys) aged between 19 and 36 months with at least 2 years of follow-up who
underwent isolated periacetabular Pembersal osteotomy with open reduction. Preoperative, early postoperative, 6 weeks postoperative and final
follow-up radiographs were evaluated and Wiberg's centre-edge angle (CEA), the acetabular index (AI) and Tönnis grades were noted.
Results: The mean age of the patients was 28.75 months and the follow-up period was 50.33 months. CEA and AI showed improvement in the early
postoperative period and this improvement continued in the later periods. Tönnis staging showed postoperative improvement in all patients, and
this improvement continued in the early postoperative period and on the 6-week follow-up radiographs. At the final follow-up examination, 3
hips had CEA <20º, AI >20º and Tönnis stage ≥2 and these 3 hips were considered as a radiologically poor outcome.
Conclusion: This study demonstrated that isolated Pembersal osteotomy is an effective and safe option for the treatment of developmental
dysplasia of the hip, with improvement in acetabular index and other radiological parameters.
Keywords: Developmental dysplasia of the hip, periacetabular osteotomy, Pembersal osteotomy, centre-edge angle, acetabular index