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Hasta Yaşının Gelişimsel Kalça Displazisi Tedavisinde Uygulanan Pelvik Osteotomilerin Sonuçları Üzerine Etkisi

Effect of Patient Age on Radiographic and Clinical Results of Pelvic Osteotomies for DDH

Journal Name:

  • Fırat Tıp Dergisi

Publication Year:

  • 2007

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objectives: To evaluate the effect of patient age on radiographic and clinical results of developmental dysplasia of hip (DDH) treated with pelvic osteotomy. Material and Methods: Fourty-three hip of 33 patients with more than 1 year follow-up were evaluated. The patients were devided two groups, group I had under 48 months old and group II had over 48 months old patients. Mean follow-up period was 25.4 months (13-60) and 38.4 months (12¬ 75) in group I and II, respectively. Results: In group I group II respectively; mean acetabular index (AI) was lovered to 20.8° and 25.9°, mean cenral- edge (CE) angle was up to 28.9° and 26.6° (p<0.05). Excellent or good radiographic results accounted for 85.7% and 87.5%, and clinical results for 91.4% and 75% in groups I and II, respectively. Avascular necrosis of the femoral head was noted in 6 hips (17%) in group I and 2 hips (25%) in group II. When we were compared the group I and II; best clinical results were found in Group I (p<0.05), but other results were the same (p>0.05). Conculation We have a more successfull clinical results by making the pelvic osteotomies for DDH in early ages. ©2007, Firat University, Medical Faculty
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Abstract (Original Language): 
Giriş: Gelişimsel kalça displazisi (GKD) tedavisinde uygulanan Salter pelvik osteotomisi (SPO) ve Pemberton pelvik osteotomisinde (PPO), hasta yaşının klinik ve radyolojik sonuçlar üzerine etkisini değerlendirmek Gereç ve Yöntem: GKD nedeniyle pelvik osteotomi yapılan hastalardan, klinik ve radyolojik takipleri düzenli olan ve takip süreleri 1 yılı aşan, toplamda 33 hastanın 43 kalçası çalışmaya alındı. Ameliyat yaşının, klinik ve radyolojik sonuçlar üzerine etkisini araştırmak amacıyla hastalar retrospektif olarak iki yaş grubuna ayrıldı. Grup I, 48 ay altı ve grup II, 48 ay üstü hastaları içermekte idi. Hastaların ortalama takip süreleri grup I'de 25.4 ay (13-60), grup II'de 38.4 ay (12-75) idi. Bulgular: Grup I'de asetabüler indeks açısındaki (Aİ) düzelme ortalama 20.8° merkez-kenar açısındaki (MKA) artış ortalama 28.9°, grup II'de Aİ'deki düzelme ortalama 25.9°, MKA'daki artış 26.6° bulundu. Her iki grubta da Aİ ve MKA'daki düzelme belirgin şekilde anlamlıydı (p<0.05). Severin radyolojik ölçütlerine göre; grup I'de çok iyi ve iyi toplamı %85.7; grup II'de %87.5 bulundu. Modifiye McKay ölçütlerine göre klinik değerlendirmede; grup I'de çok iyi ve iyi toplamı %91.4; grup II'de %75 bulundu. Avasküler nekroz, grup I'de 6 (%17) kalçada, grup II'de 2 (%25) kalçada görüldü. Grup I'de klinik sonuçlar daha başarılıyken (p<0.05), gruplar arasında Aİ ve M K A değişim miktarı, A V N görülme sıklığı ve radyolojik ölçütler açısından fark yoktu (p>0.05). Sonuç: GKD tedavisinde uygulanan pelvik osteotomilerin küçük yaşta yapılması, klinik sonuçları daha başarılı yapmaktadır. ©2007, Fırat Üniversitesi, Tıp Fakültesi
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Karakurt ve İncesu
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