Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy

Öz

The aim of this study was to show the clinical and radiographic mid-term results of Pembersal and femoral osteotomy without open reduction in patients with mild dysplasia of the hip joint. This case series included 13 Developmental Dysplasia of the Hip (DDH) patients (13 hips), who underwent a combination of Pembersal and femoral osteotomy without open reduction between January 2014 and June 2020. The patients comprised 12 females (93%) and 1 male (8%), with a mean age at surgery of 24.29.40 months (range: 17-51 months) and the average follow-up was 31.413.2 months (range: 12-49 months). The mean acetabular index decreased significantly from 36.604.870 (range:300- 460) preoperatively, to 1801.410 (range: 150-210) at the final follow-up examination (p<0.001). Avascular necrosis (AVN) was not seen in any patient. The results showed that this kind of surgical procedure seems to be successful at the mid-term follow-up in mild hip dysplasia patients. The most important point was that avascular necrosis was not seen in any of the patients with this technique.

Anahtar Kelimeler

• Developmental hip dysplasia
• Pelvic osteotomy
• Avascular necrosis
• Hip joint
• Reduction

Hafif Kalça Displazisinin Pembersal ve Femoral Ostetomi Kombinasyonlu Cerrahi Tedavisi

Öz

Bu çalışmanın amacı kalça ekleminde hafif displazisi olan hastalarda açık redüksiyon olmadan Pembersal ve femoral osteotominin orta dönem klinik ve radyografik sonuçlarını göstermektir. Bu vaka serisi Ocak 2014 ve Haziran 2020 tarihleri arasında açık redüksiyon olmadan Pembersal ve femoral osteotomi uygulanan 13 Gelişimsel Kalça Displazisi (GKD) hastasını (13 kalça) içermektedir. Hastaların 12’ si kız (%93) ve 1’ i erkek (%8), cerrahi sırasındaki ortalama yaş 24.29.40 ay (aralık: 17-51 ay) ve ortalama takip süresi ise 31.413.2 ay idi (aralık: 12-49 ay). Ortalama asetabular indeks son takipte 36.604.870 (aralık: 300- 460) den önemli derecede düşerek 1801.410 (aralık: 150-210) geriledi (p<0.001). Hiçbir hastada avasküler nekroz görülmedi. Elde edilen bu sonuçlar bu tarz cerrahi girişimin hafif kalça displazili hastalarda orta dönem takiplerde başarılı olduğunu göstermektedir. En önemli nokta ise bu teknikle hiçbir hastada avasküler nekroz görülmemiş olmasıdır.

Anahtar Kelimeler

• Gelişimsel kalça displazisi
• Pelvik osteotomi
• Avasküler nekroz
• Kalça eklemi
• Redüksiyon

Kaynakça

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