A comparison of the treatment of DDH in the older children by femoral shortening with a) acetabular shelf and b) innominate osteotomy plus shelf
Tarih
2010Yazar
Doğan, Metin
Ağaoğlu, S.
Öçgüder, A.
Uğurlu, M.
Önem, Y.
Bozkurt, M.
Üst veri
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Aim: To examine the surgical outcome of 2 different techniques used in the treatment of developmental dislocation of
the hip with delayed diagnosis.
Materials and methods: The patients were divided into 2 groups based on the technique applied: 21 hips of 18 patients
were included in Group 1 and 20 hips of 16 patients were included in Group 2. Initially, all the patients were subjected
to femoral osteotomy, shortening, varization and derotation. In Group 1, additionally extra-articular grafting was
performed for acetabulum and in Group 2, acetabular osteotomy and extraarticular grafting were performed. The mean
age of Group 1 was 8 years, and the mean age of Group 2 was 7 years.
Results: The results were evaluated radiologically and clinically. The mean follow-up time was 4 years. In the patients
under 7 years of age, successful results were obtained in both groups. Of 7 patients with poor outcome, 6 were older than
7 years of age.
Conclusion: The surgical treatment of childhood developmental dislocation of the hip with delayed diagnosis is difficult.
However, it can be concluded that, in patients 7 years old or younger with a diagnosis of developmental hip dislocation,
the 2 techniques described here are effective.