Doğuştan Kalça Çıkığı Tedavisinde Açık Redüksiyon, Salter ve Femoral Osteotomi Kombinasyonu

Year 1991, Volume: 44 Issue: 4, 564 - 574, 31.12.1991

Ertan Mergen

https://izlik.org/JA92XE53XD

Abstract

Bu çalışmada AÜTEF, Ortopedi ve Travmatoloji Kliniğinde 1979 - 1987 yılları arasında D.K.Ç. tanısıyla açık redüksiyon, Salşer ve femoral osteotomi yapılan 61 hastanın 84 kalçası klinik ve rTadyo- lojik olarak değerlendirildi. Ortalama yaş 29.5 ay, orlalama takip süresi 170 5 yıldı. 67 kalça (© 80) radyolojik olarak normal (Severin i veya 2; kabul edildi. Klinik olarak da 81 kelça (96 96) çok iyi veya iyi olarak değerlendirildi. 30 kalçada ise (5 36) değişik derecelerde avas- küler nekroz gözlendi. Bu yöntem konsantrik redüksiyonu tek scans- ta sağlaması ve hastanede kalış süresini azaliması bakımından tat- minkar olarak kabul edildi.

Keywords

ortapedi , kalça çıkıklığı , doğuştan çıkıklık

COMBINATION OF OPEN REDUCTION, SALTER AND FEMORAL OSTEOTOMY IN THE TREATMENT OF CONGENITAL HIP DISLOCATION

https://izlik.org/JA92XE53XD

Abstract

In this article, we analyzed the radiographic and clinical results of 84 congenitaliy dislocated hips of 61 patients. Open reduction, Sal- ter and femoral osteotomy was the operative technigue. The 2verage âge6 at operation was 29.5 months and the average İollow-up period was 5 years. Radiosraphically, 67 hips (X 80) were considered <1Or- mal» (Severin class 1 or 2), Clinically 81 hips (© 96) were conside- red «excellent» or «good». Avascular necrosis was observed in 30 hips (X& 36). In our opinion, this method of treatment is satisfactory, as it achieves concentric reduction at one session and shortens the time of stay at hospital.

Keywords

orthopaedics , dislocated hips , congenital dislocation

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