One-stage treatment of congenital severely dislocated hips in older children through various acetabuloplasty techniques: 22 Children followed for 1-5 years
Acta Orthopaedica, cilt.76, sa.2, ss.212-219, 2005 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 76 Sayı: 2
- Basım Tarihi: 2005
- Doi Numarası: 10.1080/00016470510030599
- Dergi Adı: Acta Orthopaedica
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.212-219
- Ankara Yıldırım Beyazıt Üniversitesi Adresli: Evet
Özet
Background: There is no consensus regarding the best treatment for children with late diagnosis of congenital hip dislocation. Patients and methods: This retrospective study involved 29 hips in 22 children (19 girls) with an age range of 3-14 years, who had been operated with various techniques for congenital hip dislocation between 1998 and 2002. 6 patients had right, 9 patients had left, and 7 patients had bilateral congenital hip dislocation. The mean length of follow-up was 3 (1-5) years. Results: While the mean acetabular index was 53°(35-65) preoperatively, at the last follow-up it was 30° (15-50). 27 hips were type 4 and 2 hips were type 3 by Tönnis criteria. Satisfactory reduction (Severin Class I) had been achieved in 19 hips at the follow-up radiography, and they developed no osteonecrosis. The outcome was successful in children under 7 years of age, but problems encountered in those over 7 increased unless sufficient reduction had been achieved. Interpretation: Age at treatment of late-diagnosed congenital hip dislocation appears to be important for outcome. Copyright © Taylor & Francis 2005.