Short-Mid Term Results of Open Reduction and Simultaneous Single Stage Pemberton Pericapsular Osteotomy in Patients with Bilateral Developmental Hip Dysplasia

Abstract

Objective: In this study, we aimed to publish the data on the clinical-radiological outcomes and perioperative analysis of PPO applied simultaneously in patients with bilateral developmental hip dysplasia compared with the literature. Materials and Methods: In the study, which was retrospectively analyzed, 75 patients (150 hips) who were followed up for at least 1 year between 2010-2018 were included in the study. Preoperative radiological Asetabular Index (AI) measurement and the International Hip Dysplasia Institute (IHDI) classification, postoperative radiological AI measurement and severin classification, clinically McKay criteria, for osteonecrosis Kalamchi-MacEwen classification were used. In the perioperative analysis, the duration of anesthesia exposure, hospital stay, and total cost were evaluated. Results: Sixty-seven patients were girls and 8 patients were boys. The mean follow-up times were 31.65 ± 16.2 (12-60) months and the age of surgery was 21.4 (18-36). There was no statistically significant difference between the mean follow-up times and surgical ages between both genders (p = 0.681). A statistically significant difference between the mean corrected AI (p = 0.509), intraoperative bleeding amount (p = 0.431), hospital stay time (p = 0.909), anesthesia exposure (p = 0.368) and cost (p = 0.531) between both sex no difference was found. It was statistically significant for the right and left hips in pre-postoperative AI (p <0.001). Clinical and radiological results were found in similar rates to the literature. Conclusion: Compared with the literature, clinical and radiological results were found in similar rates in patients who underwent simultaneous PPO. In addition, simultaneous PPO reduces anesthesia exposure time, hospital stay and total cost. Simultaneous procedure seems to be advantageous for surgeons who have sufficient experience in PPO or who have started using this technique routinely.

Keywords

• Pemberton,Simultaneous Surgery,Developmental Hip Dysplasia

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