Acta Chir Orthop Traumatol Cech. 2023; 90(1):17-21 | DOI: 10.55095/achot2023/002

Functional and Radiologic Results of Posteromedial Limited Surgery in Developmental Dysplasia of the HipOriginal papers

K. UZEL1,*, M. GEM2, İ. ŞAHIN3, M. O. ZIYADANOĞULLARI4, M. M. ESKANDARI5, H. ARSLAN6
1 University of Medipol, School of Medicine, Department of Orthopaedics and Traumatology, İstanbul, Turkey
2 Memorial Hospital, Department of Orthopaedics and Traumatology, Diyarbakir, Turkey
3 Bismil State Hospital, Department of Orthopaedics and Traumatology, Diyarbakir, Turkey
4 Gazi Yaşargil Training and Research Hospital, Department of Orthopaedics and Traumatology, Diyarbakir, Turkey
5 University of Mersin, School of Medicine, Department of Orthopaedics and Traumatology, Mersin, Turkey
6 University of Dicle, School of Medicine, Department of Orthopaedics and Traumatology, Diyarbakir, Turkey

PURPOSE OF THE STUDY:
In treatment algorithm of developmental dysplasia of the hip, posteromedial limited surgery is placed between closed reduction and medial open articular reduction. The aim of the present study was to assess the functional and radiologic results of this method.

MATERIAL AND METHODS:
This retrospective study was performed in 37 Tönnis grade II and III dysplastic hips of 30 patients. The mean age of the patients at operation was 12.4 months. The mean follow-up time was 24.5 months. Posteromedial limited surgery was applied when sufficient stable concentric reduction was not achieved by closed technique. No pre-operative traction was applied. Postoperatively, human position hip spica cast was applied for 3 months. Outcomes were evaluated regarding modified McKay functional results, acetabular index and presences of residual acetabular dysplasia or avascular necrosis.

RESULTS:
Thirty-six hips had satisfactory and one hip had poor functional result. The mean pre-operative acetabular index was 34.5 degrees. It improved to 27.7 and 23.1 degrees at the postoperative 6th month and the last control X-Rays. The change in acetabular index was statistically significant (p

Keywords: developmental dysplasia of the hip, posteromedial limited surgery, closed reduction, medial open reduction

Published: February 15, 2023  Show citation

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UZEL K, GEM M, ŞAHIN İ, ZIYADANOĞULLARI MO, ESKANDARI MM, ARSLAN H. Functional and Radiologic Results of Posteromedial Limited Surgery in Developmental Dysplasia of the Hip. Acta Chir Orthop Traumatol Cech. 2023;90(1):17-21. doi: 10.55095/achot2023/002. PubMed PMID: 36907578.
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