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Koksa Plana Hastalığının Cerrahi Tedavisinde İkili Osteotomi Ameliyatı

Year 1983, Volume: 36 Issue: 3, 263 - 288, 30.09.1983
https://izlik.org/JA53GG38JF

Abstract

Ankara Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Ana Bilim Dalında 1975-1982 yılları arasında Coxa Plana (Perthes-CaIve, Legg) hastalığından 26 vak'a üzerinde ikili Osteotomi Double Osteotomy- (DO) ismini verdiğimiz Pelvik Osteotomi ile birlikte SubTrokanterik varus, ekstansiyon ve derotasyon osteotomi kombinasyonumın tatbiki ve ortalama 3 yıl 5 aylık post operatif takipleri yapılmış-Vakaların ameliyat sonuçlan Histro-patolojik, Sintigrafilç, Radyografik ve Klinik yönleri ile değerlendirilmiş ve bunların Işığı altında aşağıdaki hususlar aydınlığa kavuşmuştur.
1. Caterall'in grup 1 klasifikasyonuna giren vakalarda herhangi bir tedavi öngörülmemiştir.
2. 4 yaşının altında olup, ancak artrografik tetkiklerde protrusyon gösteren vak'alarda "Cheliectomy» ile birlikte yapılacak sub-trokanterik derotasyonel varizasyon osteotomisi otörlerce (16) önerilmiş, kendi klinik vakalarımızın Klinik, Radyografik ve Sintigrafik sonuçları da bu görüşü destekler mahiyette bulunmuştur.

References

  • 1. Axer, A, Subtrochanteric Osteotomy in the treatment of Perthes disease, J. Bcne Joint Surg. 47B : 09, 1965.
  • 2. Axer, A. and Schiller, M.Œ The pathogenesis of the early deformity of the capital femoral epiphysis in Leg-Calve-Perthes syndrome CLC.P.S.) An artrog raphic study, Clin. Orthop. 84 103, 1972.
  • 3. Axer, A. Schiller, MIG„ Segal, Di Rzentelny, V. and Gershuni Gordon D.H. Subtrochanteric osteotomy in the treatment of Legg-Calvc-Pcrthcs Syndromc (LC.P.S.) Acta Orthop„ Scand. 44 : 31$ 1973.
  • 4, Bohr, H, : Densiometry and IB-F scintigraphy in the study of the revascularisation of the femoral head in coxa plana ICQ), Acta Orthop. Scand. 44 : 417, 1973.
  • KobsŒ HastalLözntn Ameliyafi 5. Brotherton, B.J., and McKibbin, Bi Perthes disease treated by prolonged recumbency and femoral head containment ; A long term appraisal. J, Bone Joint Surg. 59B 8, 19771
  • 6. Catterall, A, The natural history Of Perthes disease, J, Bone Joint Surg. 53 • at 1971.
  • 7. Shung, and Moe, J.H. Legg-Calve-Perthes disease, Clinical radiographic correlations, Clin. Ortop. 41 116, 1965.
  • B. Cotler, J.M. : The surgical approach to LCPS, Proceedings of the first International Symposium on LeggsCalve-Perthes Syndrome, 162, 1977.
  • Danielson, LG. Late results Of Perthes disease, Acta Orthop, Scand. 3B 70. 1965.
  • 10. Daniglis, J.A. : Pinhole imaging in Legg-Perthes disease : Further observations, Semin Nucl. Med. 6 ; 69, 197B.
  • 11. Dickens, an a Menalaus, M.B. The assesment of prognosis in Perthes disease, J. Bone Joint Surg. 60B 189, 1078.
  • 12. Dreyer, J., and Schafer. LSi : Actual problems int the treatment of Perthes disease, Z Kinderchir. 15 : 106, 1974.
  • 13. Glimcher, L, Ninomiya, S., Shapiro, F. and Glimcher, M.J. : Nutrition of the secondary centre of ossification by synovial fluid, Trans. Orthop. Res. Soc. 3 • 74, 1978.
  • 14. Gower, W.E„ and Johnson, R.C. : Legg-Perthes disease, Long term follow-up Of thirty-six patients, J, Bone Joint Surg. 53A : 759, 1971.
  • 15. Harrison, MEM., Turner, M.H„ and Nicholson. FJ. Coxa plana-Results of a new form Of spilinting. J. Bone Joint Surg. 51A : 1057, 1059.
  • Heikkinen, L, Puranen, J., and Suramo, I. : The offect of intertrochanteric ogteotomy on the venous dranage of the femoral neck in Perthes disease, Acta Arthop. Scand, 47 ; 89, 1973.
  • 17. Kamhi, E.. and MacEwen, D. o: Treatment of Legg-Calve-Perthes disease, J. Bone Joint Surg. 57A 651. 1975,
  • 18. Katz. JF. Conservative treatment of Legg-Calve-Perthes disease, J. Bone Joint Surg. OA 1043i
  • 19. Loyd-Roberts, G.C„ Catterall, A., and Salamon, p.B. : A controlled study of the indications for the results of femoral osteotomy in Perthes disease, J, Bone Joint Surg. 58B : 31, 1976.
  • S. iCakLrgii IUtman - liker 20 Mañdund, and TiÐberg, B, Coxa A radiological comparrison of the rate of healing with conservative measures and after ostootomy Jl Bone Joint surg, 58B 25, 197B,
  • 21. Meyerv J, : Legg-Calve-Perthes disease, Radiological results of treatment and their late consequences, Acta Orthop. Scand. (Suppl.) 167 : 1, 1977.
  • 22, Mirowski, Y. ; Shortening of the leg in Legg-Calve-Perthes syndrome and the influence of femoral osteotomy on its shortening, Thesis, University of Tel Aviv, 1078.
  • Mose, K. Legg-Calve-Perthes disease. Thesis Cophenhagen Universitetsforlaget, Aarhug, 1964.
  • 24. Nevelog, A.B., CL., Burch, R., and Woodward, P.M. Perthes disease, A study of radiological features, Acta Orthopt Scand, 48 : 411, 1977.
  • 25. O'Carro, J,A. The radiographic changes in Perthes disease, J. Bone Joint Surg. 41B : 465, 1959,
  • 20. Petrie, and Bitenc, A. 'The abduction weight-bearing treatment in LeggPertheg disease, J. Bone Joint Surg. 53B 54, 1971.
  • 27. Puranen, J., and Heikkinen, E. rrxtertrochanteric osteotorny treatment of Perthes diseasse, Acta Orthop. Scand. 47 7B, 1976.
  • 2B. Ralston. EL, Legg-Calve-Perthes disease-Factors healing, J. Bone Joint Surg. 43A 249, 1961.
  • 29. Salter, RB., and Bell, M, The pathogenesis of deformity Legg-Perthes sease, J. Bone Joint surg. 50B 498, 1968.
  • 30. Shint S., Day, Leing, G. Circulation and vascular changes int the nip tallowing innominate osteotomy. And experimental study, Clin. Orthop. 160 25B, 1981.
  • 31. Snyder, C.R. Legg-Perthes disease in the young hip-Does it necessarily do well. J. Bone Joint Surg. 57A 751, 1975.
  • 32. Sommerville, ENV. Perthes disease of the hip, J. Bone Joint Surg. 53B : 630, WII.
  • 33. Suramo, 1., Puranen, J., Heikkinen, ll., and Vuorinen. P. Disturbed patterns of venous drainage of the femoral neck in Perthes disease. J. Bone Joint Surg. 58B 448, 1974.
  • 34. Trueta, J. : The nornlal vascular anatomy ct the human femoral head during growth, J. Bone Jotnt Surg. 39B 358, 1957.

Double Osteotomy Surgery in Surgical Treatment of Coxa Plana Disease

Year 1983, Volume: 36 Issue: 3, 263 - 288, 30.09.1983
https://izlik.org/JA53GG38JF

Abstract

During the years 1975 - 1982 what we have named as Double osteotomv. which is a combination of Pelvic Osteotomv together with subtrochanteric varus, exf,ension and derotation osteotomy, was applied to 26 cases sufferinşç from coxa plana (Perthes-CaIve Legg) and post-operative follow-up of an averaqe period of 3 vears 5 months was undertaken at the Department of Orthopaedics and Traumatology of the Facultv of Medicine, University of Ankara

References

  • 1. Axer, A, Subtrochanteric Osteotomy in the treatment of Perthes disease, J. Bcne Joint Surg. 47B : 09, 1965.
  • 2. Axer, A. and Schiller, M.Œ The pathogenesis of the early deformity of the capital femoral epiphysis in Leg-Calve-Perthes syndrome CLC.P.S.) An artrog raphic study, Clin. Orthop. 84 103, 1972.
  • 3. Axer, A. Schiller, MIG„ Segal, Di Rzentelny, V. and Gershuni Gordon D.H. Subtrochanteric osteotomy in the treatment of Legg-Calvc-Pcrthcs Syndromc (LC.P.S.) Acta Orthop„ Scand. 44 : 31$ 1973.
  • 4, Bohr, H, : Densiometry and IB-F scintigraphy in the study of the revascularisation of the femoral head in coxa plana ICQ), Acta Orthop. Scand. 44 : 417, 1973.
  • KobsŒ HastalLözntn Ameliyafi 5. Brotherton, B.J., and McKibbin, Bi Perthes disease treated by prolonged recumbency and femoral head containment ; A long term appraisal. J, Bone Joint Surg. 59B 8, 19771
  • 6. Catterall, A, The natural history Of Perthes disease, J, Bone Joint Surg. 53 • at 1971.
  • 7. Shung, and Moe, J.H. Legg-Calve-Perthes disease, Clinical radiographic correlations, Clin. Ortop. 41 116, 1965.
  • B. Cotler, J.M. : The surgical approach to LCPS, Proceedings of the first International Symposium on LeggsCalve-Perthes Syndrome, 162, 1977.
  • Danielson, LG. Late results Of Perthes disease, Acta Orthop, Scand. 3B 70. 1965.
  • 10. Daniglis, J.A. : Pinhole imaging in Legg-Perthes disease : Further observations, Semin Nucl. Med. 6 ; 69, 197B.
  • 11. Dickens, an a Menalaus, M.B. The assesment of prognosis in Perthes disease, J. Bone Joint Surg. 60B 189, 1078.
  • 12. Dreyer, J., and Schafer. LSi : Actual problems int the treatment of Perthes disease, Z Kinderchir. 15 : 106, 1974.
  • 13. Glimcher, L, Ninomiya, S., Shapiro, F. and Glimcher, M.J. : Nutrition of the secondary centre of ossification by synovial fluid, Trans. Orthop. Res. Soc. 3 • 74, 1978.
  • 14. Gower, W.E„ and Johnson, R.C. : Legg-Perthes disease, Long term follow-up Of thirty-six patients, J, Bone Joint Surg. 53A : 759, 1971.
  • 15. Harrison, MEM., Turner, M.H„ and Nicholson. FJ. Coxa plana-Results of a new form Of spilinting. J. Bone Joint Surg. 51A : 1057, 1059.
  • Heikkinen, L, Puranen, J., and Suramo, I. : The offect of intertrochanteric ogteotomy on the venous dranage of the femoral neck in Perthes disease, Acta Arthop. Scand, 47 ; 89, 1973.
  • 17. Kamhi, E.. and MacEwen, D. o: Treatment of Legg-Calve-Perthes disease, J. Bone Joint Surg. 57A 651. 1975,
  • 18. Katz. JF. Conservative treatment of Legg-Calve-Perthes disease, J. Bone Joint Surg. OA 1043i
  • 19. Loyd-Roberts, G.C„ Catterall, A., and Salamon, p.B. : A controlled study of the indications for the results of femoral osteotomy in Perthes disease, J, Bone Joint Surg. 58B : 31, 1976.
  • S. iCakLrgii IUtman - liker 20 Mañdund, and TiÐberg, B, Coxa A radiological comparrison of the rate of healing with conservative measures and after ostootomy Jl Bone Joint surg, 58B 25, 197B,
  • 21. Meyerv J, : Legg-Calve-Perthes disease, Radiological results of treatment and their late consequences, Acta Orthop. Scand. (Suppl.) 167 : 1, 1977.
  • 22, Mirowski, Y. ; Shortening of the leg in Legg-Calve-Perthes syndrome and the influence of femoral osteotomy on its shortening, Thesis, University of Tel Aviv, 1078.
  • Mose, K. Legg-Calve-Perthes disease. Thesis Cophenhagen Universitetsforlaget, Aarhug, 1964.
  • 24. Nevelog, A.B., CL., Burch, R., and Woodward, P.M. Perthes disease, A study of radiological features, Acta Orthopt Scand, 48 : 411, 1977.
  • 25. O'Carro, J,A. The radiographic changes in Perthes disease, J. Bone Joint Surg. 41B : 465, 1959,
  • 20. Petrie, and Bitenc, A. 'The abduction weight-bearing treatment in LeggPertheg disease, J. Bone Joint Surg. 53B 54, 1971.
  • 27. Puranen, J., and Heikkinen, E. rrxtertrochanteric osteotorny treatment of Perthes diseasse, Acta Orthop. Scand. 47 7B, 1976.
  • 2B. Ralston. EL, Legg-Calve-Perthes disease-Factors healing, J. Bone Joint Surg. 43A 249, 1961.
  • 29. Salter, RB., and Bell, M, The pathogenesis of deformity Legg-Perthes sease, J. Bone Joint surg. 50B 498, 1968.
  • 30. Shint S., Day, Leing, G. Circulation and vascular changes int the nip tallowing innominate osteotomy. And experimental study, Clin. Orthop. 160 25B, 1981.
  • 31. Snyder, C.R. Legg-Perthes disease in the young hip-Does it necessarily do well. J. Bone Joint Surg. 57A 751, 1975.
  • 32. Sommerville, ENV. Perthes disease of the hip, J. Bone Joint Surg. 53B : 630, WII.
  • 33. Suramo, 1., Puranen, J., Heikkinen, ll., and Vuorinen. P. Disturbed patterns of venous drainage of the femoral neck in Perthes disease. J. Bone Joint Surg. 58B 448, 1974.
  • 34. Trueta, J. : The nornlal vascular anatomy ct the human femoral head during growth, J. Bone Jotnt Surg. 39B 358, 1957.
There are 34 citations in total.

Details

Primary Language Turkish
Subjects Orthopaedics
Journal Section Research Article
Authors

Ali Tan This is me

Publication Date September 30, 1983
IZ https://izlik.org/JA53GG38JF
Published in Issue Year 1983 Volume: 36 Issue: 3

Cite

APA Tan, A. (1983). Koksa Plana Hastalığının Cerrahi Tedavisinde İkili Osteotomi Ameliyatı. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 36(3), 263-288. https://izlik.org/JA53GG38JF
AMA 1.Tan A. Koksa Plana Hastalığının Cerrahi Tedavisinde İkili Osteotomi Ameliyatı. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1983;36(3):263-288. https://izlik.org/JA53GG38JF
Chicago Tan, Ali. 1983. “Koksa Plana Hastalığının Cerrahi Tedavisinde İkili Osteotomi Ameliyatı”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 36 (3): 263-88. https://izlik.org/JA53GG38JF.
EndNote Tan A (September 1, 1983) Koksa Plana Hastalığının Cerrahi Tedavisinde İkili Osteotomi Ameliyatı. Ankara Üniversitesi Tıp Fakültesi Mecmuası 36 3 263–288.
IEEE [1]A. Tan, “Koksa Plana Hastalığının Cerrahi Tedavisinde İkili Osteotomi Ameliyatı”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 36, no. 3, pp. 263–288, Sept. 1983, [Online]. Available: https://izlik.org/JA53GG38JF
ISNAD Tan, Ali. “Koksa Plana Hastalığının Cerrahi Tedavisinde İkili Osteotomi Ameliyatı”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 36/3 (September 1, 1983): 263-288. https://izlik.org/JA53GG38JF.
JAMA 1.Tan A. Koksa Plana Hastalığının Cerrahi Tedavisinde İkili Osteotomi Ameliyatı. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1983;36:263–288.
MLA Tan, Ali. “Koksa Plana Hastalığının Cerrahi Tedavisinde İkili Osteotomi Ameliyatı”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 36, no. 3, Sept. 1983, pp. 263-88, https://izlik.org/JA53GG38JF.
Vancouver 1.Ali Tan. Koksa Plana Hastalığının Cerrahi Tedavisinde İkili Osteotomi Ameliyatı. Ankara Üniversitesi Tıp Fakültesi Mecmuası [Internet]. 1983 Sep. 1;36(3):263-88. Available from: https://izlik.org/JA53GG38JF