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Turkish Journal of Medical Sciences

Author ORCID Identifier

BURHAN KURTULUŞ: 0000-0001-8816-5819

DOI

10.55730/1300-0144.5885

Abstract

Background/aimThe aim of this study is to compare the results of pemberton osteotomy (PO), salter innominate osteotomy (SO), open reduction (OR) and closed reduction (CR) applied in the treatment of Developmental Dysplasia of the Hip (DDH).Materials and methods101 hips of 82 patients treated at Orthopedic Clinic between 2017 and 2023 were included in the study. Preoperatively, postoperatively and at final follow-up of patients were evaluated. The results of these patients were evaluated according to Severin's radiological and Barret's clinical classifications. Patients who developed avascular necrosis (AVN) were evaluated according to the Bucholz and Ogden classification.ResultsIn terms of preoperative acetabular angle (AA) values, those who underwent PO were significantly higher than the other three, and those who underwent SO were significantly higher than the other two (OR and CR) (p<0.001). There was a significant difference in the last follow-up AA values of patients who underwent SO and PO compared to OR and CR (p<0.001). The most corrections were achieved with PO (average 27.94° ± 4.89°). There was a significant difference between PO and OR and PO and CR in terms of preoperative collodiaphyseal angle (CDA) values (p<0.05). There was the greatest decrease in those who underwent PO (22.44°±9.45°). AVN developed at various stages in 15 of 79 hips (14.85%) that underwent surgical treatment. While AVN developed at a rate of 22.22% in PO, 18.18% in SO, and 17.85% in OR, no AVN developed in the 22 hips that underwent CR.ConclusionUnderstanding normal and abnormal values by age is essential for selecting appropriate treatments. Plan acetabulum-related surgeries for patients over 1.5 years with an angle above 30 degrees. Early diagnosis and closed reduction treatments yield excellent results and low AVN rates. Various DDH treatments in our clinic show low AVN rates, indicating safety and efficacy.

Keywords

Developmental dysplasia of the hip, pemberton osteotomy, salter innominate osteotomy, open reduction, closed reduction

First Page

1060

Last Page

1070

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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