지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 260 - 268 (9page)
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초록· 키워드
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Purpose: This study was performed to assess the clinical and radiological outcomes following one-stage hip reconstruction, consisting of open reduction femoral shortening and pelvic osteotomy, for neglected developmental dislocation of the hip (DDH). Materials and Methods: This is a retrospective analysis of 77 hips in 65 patients (46 females and 19 males; 12 had bilateral dislocations), operated at a Ghurki Trust Teaching Hospital in Pakistan between 2013 and 2015. The average age at surgery was 11.02±3.43 years. According to the Tönnis classification, there were 10, 14, 22, and 31 patients in grades 1, 2, 3, and 4, respectively. The pelvic procedure utilized in this study was triple osteotomy (47 hips) followed by double and Salter osteotomy (18 and 12 hips, respectively). Postoperative evaluations were conducted using the modified MacKay’s scoring system (functional outcomes) and Severin’s scoring method (radiological assessment). Results: Postoperatively, there were 38 (49.4%), 19 (24.7%), 14 (18.2%), and 6 (7.8%) hips in Severin grade I, II, III and IV, respectively. According to the modified McKay criteria, there were 22 hips (28.6%) in excellent condition, 44 (57.1%) in good condition, 9 (11.7%) in fair condition and 2 (2.6%) in poor condition. Both patients with poor outcomes had an unstable, painful hip with evidence of avascular necrosis of the femoral head. Conclusion: Based on the results presented here, we recommend the single stage procedure of open reduction, femoral shortening and pelvic osteotomy for treatment of DDH in older children with good to excellent functional and radiological outcomes.
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참고문헌 (19)
참고문헌 신청
Yagmurlu MF / 2013 / Clinical and radiological outcomes are correlated with the age of the child in single-stage surgical treatment of developmental dysplasia of the hip / Acta Orthop Belg 79:159~165
Vallamshetla VR / 2006 / Congenital dislocation of the hip. A re-appraisal of the upper age limit for treatment / J Bone Joint Surg Br 88:1076~1081
Ok IY / 2007 / Operative treatment of developmental hip dysplasia in children aged over 8 years / J Pediatr Orthop B 16:256~261
Papavasiliou VA / 2005 / Surgical treatment of developmental dysplasia of the hip in the periadolescent period / J Orthop Sci 10:15~21
Ashley RK / 1972 / Reduction of dislocation of the hip in older children : a preliminary report / J Bone Joint Surg Am 54:545~550
Vallamshetla VR / 2006 / Congenital dislocation of the hip. A re-appraisal of the upper age limit for treatment / J Bone Joint Surg Br 88:1076~1081
Ok IY / 2007 / Operative treatment of developmental hip dysplasia in children aged over 8 years / J Pediatr Orthop B 16:256~261
Papavasiliou VA / 2005 / Surgical treatment of developmental dysplasia of the hip in the periadolescent period / J Orthop Sci 10:15~21
Ashley RK / 1972 / Reduction of dislocation of the hip in older children : a preliminary report / J Bone Joint Surg Am 54:545~550
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