ویراساینس.
سند علمی

Triple pelvic osteotomy in the treatment of hip dysplasia.

Zoran Vukasinović, Dusko Spasovski, Zorica Zivković, Nemanja Slavković, Sofija Cerović

چکیده

INTRODUCTION Insufficient femoral head coverage is found in a variety of diseases, with acetabular dysplasia as the most frequent disorder and triple pelvic osteotomy as the most recently introduced surgical treatment. OBJECTIVE This study analyses pre- and postoperative pathoanatomic characteristics of triple in comparison to Salter and Chiari osteotomies, with a logistic regression analysis of outcome predictor and effect explanator factors in relation to the chosen type of operation. METHODS The study involved 136 adolescents treated with Salter and Chiari osteotomies or a triple pelvic osteotomy at the Institute of Orthopaedic Surgery "Banjica" in Belgrade. The patients were between 10-20 years old at the time of operation. We collected and analyzed data from all the patients: illness history, operative parameters, preoperative and postoperative pathoanatomic data. The data was statistically processed using the statistical software SPSS, defining standard descriptive values, and by using the appropriate tests of analytic statistics: t-test for dependent and independent variables, chi2-test, Fisher's exact test, Wilcoxon's test, parameter correlation, one-way ANOVA, multi-factorial ANOVA and logistic regression, according to the type of the analyzed data and the conditions under which the statistical methods were applied. RESULTS The average CE angle after triple pelvic osteotomy was 43.5 degrees, more improved than after the Salter osteotomy (33.0 degrees) and Chiari osteotomy (31.4 degrees) (F = 16.822; p < 0.01). Postoperative spherical congruence was also more frequent after the triple osteotomy than after the other two types of operations, and with a high significance. Preoperative painful discomfort was found to be a valid predictor of indications for the triple osteotomy over both Chiari and Salter osteotomies. The valid explanators of effect for the triple osteotomy are: postoperative joint congruence (compared to the Chiari osteotomy) and increase in joint coverage (compared to Salter osteotomy). CONCLUSION Triple pelvic osteotomy is the method of choice in the management of acetabular dysplasia and other disturbances of hip joint containment in adolescent age.

اسناد مشابه

  • Combined intertrochanteric and Chiari pelvic osteotomies for hip dysplasia.

    سند علمی۱۹۹۱The Journal of bone and joint surgery. British volumeM A Scher, I Jakim

    Thirty-two dysplastic hips with secondary osteoarthritis, in 28 patients aged 18 to 42 years, were treated by combined intertrochanteric and Chiari osteotomy. They were followed up for 2.5 to 10 years. Pain was the main presenting symptom in all the patients. The indication for s

  • Triple pelvic osteotomy for the treatment of symptomatic acetabular dysplasia in adolescents and adults : A review of 42 hips.

    سند علمی۲۰۱۶Acta orthopaedica BelgicaM E Baki, A Abdioğlu, H Aydın, S Kerimoğlu

    We treated 42 hips with symptomatic acetabular dysplasia using triple pelvic osteotomy. The mean age of the patients was 20.7 years (12-47). The median follow-up was 50.3 months. The average Harris hip score improved from 74 to 92 points. Significant improvement from the preopera

  • Clinical, Radiological and Computed Tomographic Evaluations of the Effect of Triple Pelvic Osteotomy for Treatment of Canine Hip Dysplasia

    سند علمی۲۰۱۳Murat SARIERLER

    Triple pelvic osteotomy (TPO) is one of the main surgical procedures to prevent or modify the progress of degenerative joint disease (DJD) related with hip dysplasia in young dogs. The aim of this study was to evaluate the effects of TPO in dogs. In this study, TPO were performed

  • Incomplete triple pelvic osteotomy for the surgical treatment of dysplasia of the hip in adolescents and adults.

    سند علمی۲۰۰۵The Journal of bone and joint surgery. British volumeA Eren, H Omeroglu, M Güven, E Ugutmen

    We treated 26 hips (24 consecutive patients) with residual dysplasia by a technique of incomplete triple pelvic osteotomy. The mean age of the patients was 21.6 years. The mean values for the pre-operative centre-edge angle of Wiberg, the refined centre-edge angle, the acetabular

  • a modified triple pelvic osteotomy for the treatment of hip hypoplasia

    مقالهthe archives of bone and joint surgeryhassan rahimi orthopedic research center mashhad university of medical sciences, mashhad, 91766- 99199, iran, amir reza kachooei orthopedic research center mashhad university of medical sciences, mashhad, 91766- 99199, iran, mohammad hallaj moghaddam orthopedic research center mashhad university of medical sciences, mashhad, 91766- 99199, iran, mohamad gharedaghi orthopedic research center mashhad university of medical sciences, mashhad, 91766- 99199, iran

    background: the prevalence of hip dysplasia is 1 in 1000. several pelvic osteotomy methods have been developed to prevent early osteoarthritis, such as triple osteotomy. in this study we are going to introduce our new technique that was done on 4 patients with favorable short-ter

  • A Modified Triple Pelvic Osteotomy for the Treatment of Hip Hypoplasia

    مقاله۲۰۱۳The Archives of Bone and Joint SurgeryHassan Rahimi, Amir Reza Kachooei, Mohammad Hallaj moghaddam, Mohamad Gharedaghi

    Background: The prevalence of hip dysplasia is 1 in 1000. Several pelvic osteotomy methods have been developed to prevent early osteoarthritis, such as triple osteotomy. In this study we are going to introduce our new technique that was done on 4 patients with favorable short-ter