You are here

Home » Content

Doğuştan Kalça Çıkığının Tedavisinde Salter Osteotomisinin Klinik ve Radyolojik Sonuçları

The clinical and the radiological results of salter osteotomy in congenital dislocation of hip treatment

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 1997

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
In this manuscript, functional and radiologic results of twentysixpatients between eighteen months- four years of age, to whom open reduction and innominate osteotomy was performed as primary therapy are reviewed. All the patients had congenital dislocation of hip (CDH) and no previous therapeutic application due to this pathology. Due to increased femoral anteversion found with CT measurements, femoral shortening and derotetional osteotomy was added to standard surgical procedure in five patients. The mean follow-up time was 36 (13-62) months. The clinical and radiological results were analized according to modified McKay and to Severin criteria respectively. The patients were also examined for aseptic necrosis of the femoral head, which was defined by Salter and Kostuik. Our clinical ( 86% excellent/good) and radiological (76% excellent/good) results were found to be in corelation with the literature and we believe that this surgical technique, even when femoral shortening and derotetional osteotomy was added, can safely be performed witout an increase in the risk of aseptic necrosis of the femoral head. [Journal of Turgut Özal Medical Center 1997;4(2):175-181]
Bookmark/Search this post with
Abstract (Original Language): 
Bu çalışmada onsekiz ay- dört yaş arasında doğuştan kalça çıkığı bulunan, yirmialtı hasta (otuz sekiz kalça) da, primer tedavi olarak uyguladığımız açık redüksüyon ve innominate osteotomisinin fonksiyonel ve radyolojik sonuçlarını gözden geçirdik. Hastalarımıza doğumsal kalça çıkığı nedeniyle daha önce herhangi bir tedavi uygulanmamıştı. Ameliyat öncesi CT ölçüm ile femur boyun anteversiyonu artmış olarak saptanan beş hastaya femoral kısaltma ve derotasyon osteotomisi ekledik. Ortalama üç yıllık izlem sonunda (bir - beş yıl) hastalar modifıye McKay kriterlerine göre klinik olarak ve modifiye Severin sınıflama sistemine göre radyolojik olarak değerlendirildiler. Hastalar ayrıca Salter ve Kostuik'in tanımladığı şekilde avaskuler nekroz yönünden değerlendirildiler. Hastalarımızda benzer çalışmalarla uyumlu klinik (%86 çok iyi ve iyi) ve radyolojik (%76 çok iyi ve iyi) sonuç elde ettik. Sonuç olarak, onsekiz ay- dört yaş arasında doğuştan kalça çıkığı bulunan çocuklarda uyguladığımız açık redüksüyon ve inominate osteotomisi ile ve gerektiğinde femoral kısaltma ve derotasyon osteomisi eklenmesi ile avaskuler nekroz riskinde artış olmadan tatminkar sonuç elde ettik. [Turgut Özal Tıp Merkezi Dergisi 1997;4(2):175-181]
FULL TEXT (PDF): 
PDF icon arastirmax-dogustan-kalca-cikiginin-tedavisinde-salter-osteotomisinin-klinik-radyolojik-sonuclari.pdf
  • 2
175-181
  • Turkish

REFERENCES

References: 

1. Malvitz TA, Weinstein SL. Closed reduction for congenital dysplasia of the hip. Functional and radiographic results after an avarage of thirty years. .1. Bone and Joint Surg.,76-A(12): 1777-1792, Dec. 1994.
2. Weinstein SL. Natural history of congenital hip dislocation (CDH) and hip dysplasia. Clin. Orthop., 225: 62-76, 1987.
3. Harris NH, Lloyd-Roberts GC, Gallien R. Acetabular development in congenital dislocation of the hip. With special reference to the indications for acetabuloplasty and pelvic or femoral realignment osteotomy. J. Bone and Joint Surg., 57-B(1): 46-52, 1975.
4. Race C, Herring JA. Congenital dislocation of the hip: an evaluation of closed reduction. J. Pediat. Orthop., 3: 166¬172, 1983.
5. Gabuzda GM, Renshaw TS. Current Concept Review. Redüction of congenital dislocation of the hip. J. Bone and Joint Surg., 74-A( 4): 624-631, April 1992
6. Crego CH, Schwartzmann JR. Follow-up study of the early treatment of congenital dislocation of the hip. J. Bone and Joint Surg., 30-A: 428-442, April 1948.
7. Klisic P, Jankovic L. Combined procedure of open reduction and shortening of the femur in treatment of congenital dislocation of the hips in older children. Clin. Orthop., 119:
60-69, 1976.
8. Forlin E, Choi IH, Guille JT, Bowen JR, Glutting J. Prognostic factors in congenital dislocation of the hip treated with closed reduction. The importance of arthrographic evaluation. J. Bone and Joint Surg., 74-A( 8):
1140-1152, Sep. 1992.
9. Brougham DI, Broughton NS, Cole WG, Menelaus MB.
Avascular necrosis following closed reduction of congenital dislocation of the hip. Review of influencing factors and long-term follow-up. J. Bone and Joint Surg., 72-B(4): 557¬562, 1990.
10. Renshaw TS. Inadequate reduction of congenital dislocation of the hip. J. Bone and Joint Surg., 63-A: 1114-1121,Sept.
1981.
11. Salter RB, Kostuik J, Dallas S. Avascular necrosis of the femoral head as a complication of treatment for congenital dislocation of the hip in young children: a clinical and experimental investigation. Canadian J. Surg., 12: 44-60,
1969.
12. Gregosiewicz, Andrzej, Wosko, Ignacy. Risk factors of avascular necrosis in the treatment of congenital dislocation
of the hip. J.Pediat. Orthop., 8: 17-19, 1988.
13. Kalamchi Ali, MacEwen GD. Avascular necrosis following treatment of congenital dislocation of the hip. J. Bone and
Joint Surg., 62-A: 876-888, Sept. 1980.
14. Kasser JR, Bowen JR, MacEwen GD. Varus derotation osteotomy in the treatment of persistent dysplasia in congenital dislocation of the hip. J. Bone and Joint Surg 67-A: 195-202, Feb. 1985.
15. Salter RB. Innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip. J. Bone
and Joint Surg., 43-B(3): 518-539, 1961.
16. Pemberton PA. Pericapsular osteotomy of the ilium for treatment of congenital subluxation and dislocation of the hip. J. Bone and Joint Surg., 47-A: 65-86, Jan. 1965.
17. Barrett WP, Staheli LT, Chew DE. The effectiveness of the
Salter innominate osteotomy in the treatment of congenital dislocation of the hip. J Bone Joint Surg [Am] 1986; 68-
A:79-87.
18. Tönnis D. Normal values of the hip joint for the evaluation of x-rays in children and adults. Clin. Orthop., 119: 39-47,
1976.
19. Gage JR, Winter RB. Avascular necrosis of the capital femoral epiphysis as a complication of closed reduction of congenital dislocation of the hip. A critical review of twenty years' experience at Gillette Children's Hospital. J. Bone and
Joint Surg., 54-A: 373-388, March 1972.
20. Faciszewski T, Kiefer GN, Coleman SS. Pemberton Osteotomy for Residual acetabular dysplasia in children who have congenital dislocation of the hip. J.Bone and
Joint Surg., 75 (5): 643-649, May. 1993
21. Zionts LE, MacEwen GD. Treatment of congenital dislocation of the hip in children between the ages of one and three years. J. Bone and Joint Surg., 68-A: 829-846,
July 1985.
22. Salter RB, Dubos J-P. The first fifteen years' personal experience with innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip. Clin.
Orthop., 98: 72-103, 1974.
23. Salter RB. Specific guidelines in the application of the principle of innominate osteotomy. Orthop. Clin. North
America, 3: 149-156, 1972.
24. Salter RB. Role of Innominate Osteotomy in the Treatment of Congenital Dislocation and Subluxation of the Hip in the Older Child. J. Bone and Joint Surg., 48-A: 1413-1439, Oct.
1974.
25. McKay DW. A comparison of the innominate and the pericapsular osteotomy in the treatment of congenital dislocation of the hip. Clin. Orthop., 98: 124-132, 1974.
26. Galpin RD, Roach IW, Wenger DR, Herring IA, Birch IG.
One-stage treatment of congenital dislocation of the hip in older children, including femoral shortening. J. Bone and Joint Surg., 71-A: 734-741, June 1989.
27. Gibson PH, Benson MKD. Congenital dislocation of the hip. Review at maturity of 147 hips treated by excision of the limbus and derotation osteotomy. J. Bone and Joint
Surg., 64-B(2): 169-175, 1982.
28. Lindstrom JR, Ponseti IV, Wenger DR. Acetabular development after reduction in congenital dislocation of the hip. J. Bone and Joint Surg., 61-A: 112-118, Jan. 1979.
29. Weiner DS, Hoyt WA, Jr, O'Dell HW. Congenital
dislocation of the hip. The relationship of premanipulation traction and age to avascular necrosis of the femoral head. J. Bone and Joint Surg., 59-A: 306-311, April 1977.
30. Herold HZ. Avascular necrosis of the femoral head in children under the age of three. Clin. Orthop., 126: 193-195,
1977.
31. Dimitriou IX, Cavadias AX. One-stage surgical procedure for congenital dislocation of the hip in older children. Long-
term results. Clin. Orthop., 246: 30-38, 1989
32. Powell EN, Gerratana FJ, Gage JR. Open reduction for congenital hip dislocation: the risk of avascular necrosis with three different approaches. J. Pediat. Orthop., 6: 127¬132, 1986.
33. Thomas IH, Dunin AJ, Cole WG, Menelaus MB. Avascular
necrosis after open reduction for congenital dislocation of the hip: analysis of causative factors and natural history. J.
Pediat. Orthop., 9: 525-531, 1989.
34. Ogden JA. Normal and abnormal circulation. In Congenital
Dislocation of the Hip, pp. 59-92. Edited by M. O.
Tachdjian. New York, Churchill Livingstone, 1982.
35. Schoenecker PL, Strecker WB. Congenital dislocation of the hip in children. Comparison of the effects of femoral shortening and of skeletal traction in treatment. J. Bone and
Joint Surg., 66-A: 21-27, Jan. 1984.

Thank you for copying data from http://www.arastirmax.com