Results of medial open reduction of developmental dysplasia of the hip with regard to walking age
Journal of Pediatric Orthopaedics Part B, cilt.22, sa.1, ss.36-41, 2013 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 22 Sayı: 1
- Basım Tarihi: 2013
- Doi Numarası: 10.1097/bpb.0b013e3283587631
- Dergi Adı: Journal of Pediatric Orthopaedics Part B
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.36-41
- Anahtar Kelimeler: developmental dysplasia of the hip, medial open reduction, walking age
- Ankara Yıldırım Beyazıt Üniversitesi Adresli: Hayır
Özet
This study aimed to evaluate the outcome of medial open reduction for developmental dysplasia of the hip (DDH) in patients before and after walking age. A minimum 5-year radiographic and clinical follow-up compared 29 patients (group 1) before walking age with 38 patients (group 2) after walking age for DDH. The correction ratio of acetabular index was similar in both groups postoperatively (41.8% for group 1 and 44.9% for group 2), and it was statistically not significant (P>0.05). The Kalamchi-MacEwen classification showed no correlation between operative age and the rate of avascular necrosis (P>0.05). This report presents similar complication rates as that of the Severin criteria for medial open reduction of the hip and challenges the conventional belief that a medial open reduction for the treatment of DDH in a walking-age child at short-term to mid-term follow-up has comparable results. © 2012 Wolters Kluwer Health | Lippincott Williams &Wilkins.