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Results of open reduction and Salter innominate osteotomy for developmental dysplasia of the hip

机译:切开复位和Salter无创截骨术治疗髋关节发育不良的结果

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Results of open reduction and Salter innominate osteotomy for developmental dysplasia of the hip Seyyid ?erif ünsal 1 , Mehmet Fethi Ceylan 2 , Sava? Güner 1 , Mehmet Ata G?kalp 1 , U?ur Türkta? 3 , Ali Do?an 4 , Abdurrahim G?zen 1 1 2 3 4 We aimed to evaluate the clinical and radiological results of open reduction (OR) and Salter innominate osteotomy (SIO) for patients with developmental dysplasia of the hip (DDH). In this study, the results of 45 instances of OR and SIO treatment on 36 DDH patients between 2004 and 2012 were evaluated retrospectively. 28 (77.77%) of the patients were female and 8 (22:33%) of them were male. The mean age was 28.8 (18-55) and the mean follow-up period was 41.8 months (6-101). A recovery percentage was calculated by measuring the acetabular index on plain radiographs recorded before surgery, immediately after surgery, and final checkup. During patients? final checkup, the clinical evaluation was performed according to a modified version of McKay?s criteria and the evaluation of the range of the joint motion was carried out according to the Trevor-Johns-Fixen scoring system. The acetabular index values recorded from patients? hips had an average of 39.9 (35-47) degrees before the operation, but had a mean of 30.5 (20-35) degrees after the operation and an average of 18.5 (10-30) degrees during the final checkup. Clinically, excellent results were obtained in 22 hips (49%), good results were obtained in 17 hips (38%), and satisfactory results were obtained in 4 hips. Two of the patients could not be evaluated since they could not be mobilized due to cerebral palsy. Re-dislocation emerged in 3 hips (6.6%), deep infection emerged in 1 hip (2.2%), and a supracondylar femur fracture emerged for 1 patient (2.2%). OR and Salter?s innominate osteotomy is a highly effective surgical technique in the treatment of DDH cases that have lasted more than 18 months.
机译:切开复位和Salter无创截骨术治疗髋关节Seyyid?erifünsal 1 ,Mehmet Fethi Ceylan 2 ,Sava? Güner 1 ,穆罕默德·阿塔G?kalp 1 ,乌尔·图尔克塔? 3 ,阿里·多安(an Ali Doan) 4 ,阿卜杜勒拉希姆·吉森(Abdurrahim G?zen) 1 1 2 3 4 我们的目的是评估髋关节发育不良(DDH)的切开复位(OR)和Salter无创截骨术(SIO)的临床和放射学结果。在这项研究中,回顾性评估了2004年至2012年期间对36名DDH患者进行的45种OR和SIO治疗实例的结果。其中28位(77.77%)为女性,其中8位(22:33%)为男性。平均年龄为28.8(18-55)岁,平均随访期为41.8个月(6-101)。通过在手术前,手术后和最终检查中记录的X线平片上测量髋臼指数来计算恢复百分比。在病人期间?最后检查,根据McKay?标准的修改版本进行临床评估,并根据Trevor-Johns-Fixen评分系统对关节运动范围进行评估。从患者记录的髋臼指数值?臀部在手术前平均为39.9(35-47)度,但在手术后平均为30.5(20-35)度,在最后检查时平均为18.5(10-30)度。临床上,在22髋(49%)中获得了优异的结果,在17髋(38%)中获得了良好的结果,在4髋中获得了令人满意的结果。其中两名患者由于脑瘫而无法动员,因此无法进行评估。 3髋(6.6%)发生了脱位,1髋(2.2%)发生了深部感染,1例(2.2%)出现了con上con骨骨折。 OR和Salter的无名截骨术是一种治疗持续时间超过18个月的DDH病例的高效手术技术。

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