Single-Center Experience of Surgical Treatment of Subjects with Late-Presenting Developmental Dysplasia of the Hip

Serdar Menekşe; Ahmet Yılmaz; Fırat Seyfettinoğlu

Makale detayları

Single-Center Experience of Surgical Treatment of Subjects with Late-Presenting Developmental Dysplasia of the Hip

Yazarlar:

Serdar Menekşe | Ahmet Yılmaz | Fırat Seyfettinoğlu

Yayıncı:

Selcuk University

Ana Başlıklar:

Ortopedi

Dergi:

Genel Tıp Dergisi Vol.34 Issue 1, pp.71-77

Belge Tipi:

Makale

Yayın Tarihi:

2/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001312229

pISSN:

2602-3741

Anahtar kelimeler:

Özet:

 Aim: This study aimed to delineate the single-center experience surrounding the long-term consequences of surgical reconstruction in subjects with late-presenting DDH developmental dysplasia of the hip. Methods: We analyzed 23 hips of 21 subjects aged 6 years who underwent surgical interventions, such as pelvic osteotomy, open reduction, femoral shortening, and derotation, for developmental hip dysplasia. Results: After a median follow-up of 23.34 8120 months, there were no noteworthy alterations in the Harris score and anteversion. Nevertheless, significant improvements were observed in SHARP, CE angle, and depth and width index over the follow-up duration. Using Severs radiological criteria, 87.1 of subjects achieved excellent and good results. Assessment of femoral head avascular necrosis, based on Bucholz and Ogdens classification, produced the subsequent findings: 52 of hips were Type I; 13 were Type II; 22 were Type III; and 13 were categorized as Type IV. Conclusion: Despite achieving favorable postoperative radiological outcomes, theres a noticeable decline in clinical success in these subjects, especially as their age increases. Additionally, they face an elevated risk of avascular necrosis. The juxtaposition of a 75 radiological success rate with a 50 clinical success rate accentuates this contrast. Crucially, the success rate of surgical corrections in late-presenting DDH is tied to the age of the patient, with the success rate decreasing as age progresses.

 Aim: This study aimed to delineate the single-center experience surrounding the long-term consequences of surgical reconstruction in subjects with late-presenting DDH developmental dysplasia of the hip. Methods: We analyzed 23 hips of 21 subjects aged 6 years who underwent surgical interventions, such as pelvic osteotomy, open reduction, femoral shortening, and derotation, for developmental hip dysplasia. Results: After a median follow-up of 23.34 8120 months, there were no noteworthy alterations in the Harris score and anteversion. Nevertheless, significant improvements were observed in SHARP, CE angle, and depth and width index over the follow-up duration. Using Severs radiological criteria, 87.1 of subjects achieved excellent and good results. Assessment of femoral head avascular necrosis, based on Bucholz and Ogdens classification, produced the subsequent findings: 52 of hips were Type I; 13 were Type II; 22 were Type III; and 13 were categorized as Type IV. Conclusion: Despite achieving favorable postoperative radiological outcomes, theres a noticeable decline in clinical success in these subjects, especially as their age increases. Additionally, they face an elevated risk of avascular necrosis. The juxtaposition of a 75 radiological success rate with a 50 clinical success rate accentuates this contrast. Crucially, the success rate of surgical corrections in late-presenting DDH is tied to the age of the patient, with the success rate decreasing as age progresses.

 Aim: This study aimed to delineate the single-center experience surrounding the long-term consequences of surgical reconstruction in subjects with late-presenting DDH developmental dysplasia of the hip. Methods: We analyzed 23 hips of 21 subjects aged 6 years who underwent surgical interventions, such as pelvic osteotomy, open reduction, femoral shortening, and derotation, for developmental hip dysplasia. Results: After a median follow-up of 23.34 8120 months, there were no noteworthy alterations in the Harris score and anteversion. Nevertheless, significant improvements were observed in SHARP, CE angle, and depth and width index over the follow-up duration. Using Severs radiological criteria, 87.1 of subjects achieved excellent and good results. Assessment of femoral head avascular necrosis, based on Bucholz and Ogdens classification, produced the subsequent findings: 52 of hips were Type I; 13 were Type II; 22 were Type III; and 13 were categorized as Type IV. Conclusion: Despite achieving favorable postoperative radiological outcomes, theres a noticeable decline in clinical success in these subjects, especially as their age increases. Additionally, they face an elevated risk of avascular necrosis. The juxtaposition of a 75 radiological success rate with a 50 clinical success rate accentuates this contrast. Crucially, the success rate of surgical corrections in late-presenting DDH is tied to the age of the patient, with the success rate decreasing as age progresses.

 Amaç: Bu çalışma, geç ortaya çıkan GKDli gelişimsel kalça displazisi olgularda cerrahi rekonstrüksiyonun uzun vadeli sonuçlarına ilişkin tek merkez deneyimini tanımlamayı amaçlamıştır. Yöntemler: Gelişimsel kalça displazisi nedeniyle pelvik osteotomi, açık redüksiyon, femoral kısaltma ve derotasyon gibi cerrahi girişimler uygulanan 6 yaşından büyük 21 olgunun 23 kalçası analiz edildi. bulgular: Ortanca 23.34 8-120 aylık takip sonrasında, Harris skoru ve anteversiyonda kayda değer bir değişiklik olmadı. Bununla birlikte, SHARP, CE açısı ve derinlik ve genişlik indeksinde takip süresi boyunca anlamlı iyileşmeler gözlendi. Severin radyolojik kriterleri kullanılarak, olguların 87.1inde mükemmel ve iyi sonuçlar elde edildi. Bucholz ve Ogdenin sınıflandırmasına göre femur başı avasküler nekrozu değerlendirildiğinde aşağıdaki bulgular elde edildi: Kalçaların 52si Tip I; 13ü Tip II; 22si Tip III ve 13ü Tip IV olarak kategorize edildi. Sonuçlar: Ameliyat sonrası olumlu radyolojik sonuçlar elde edilmesine rağmen, bu olgularda, özellikle yaşları arttıkça, klinik başarıda gözle görülür bir düşüş vardır. Ayrıca, bu kişiler yüksek avasküler nekroz riskiyle karşı karşıyadır. 75lik radyolojik başarı oranı ile 50lik klinik başarı oranının yan yana gelmesi bu zıtlığı vurgulamaktadır. Daha da önemlisi, geç ortaya çıkan GKDde cerrahi düzeltmelerin başarı oranı hastanın yaşına bağlıdır ve yaş ilerledikçe başarı oranı düşmektedir.

Makale detayları

Single-Center Experience of Surgical Treatment of Subjects with Late-Presenting Developmental Dysplasia of the Hip

Yazarlar:

Serdar Menekşe | Ahmet Yılmaz | Fırat Seyfettinoğlu

Yayıncı:

Selcuk University

Ana Başlıklar:

Ortopedi

Dergi:

Genel Tıp Dergisi Vol.34 Issue 1, pp.71-77

Belge Tipi:

Makale

Yayın Tarihi:

2/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001312229

pISSN:

2602-3741

developmental dysplasia of the hip

triple pelvic osteotomy

femoral osteotomy

hip joint

hip preservationgelişimsel kalça displazisi

üçlü pelvik osteotomi

femoral osteotomi

kalça eklemi

kalça koruma

Sayı

Makale detayları

Yazarlar: Serdar Menekşe | Ahmet Yılmaz | Fırat Seyfettinoğlu

Yayıncı: Selcuk University

Ana Başlıklar: Ortopedi

Dergi: Genel Tıp Dergisi Vol.34 Issue 1, pp.71-77

Belge Tipi: Makale

Yayın Tarihi: 2/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001312229

pISSN: 2602-3741

Sayı

Yazarlar:

Serdar Menekşe | Ahmet Yılmaz | Fırat Seyfettinoğlu

Yayıncı:

Selcuk University

Ana Başlıklar:

Ortopedi

Dergi:

Genel Tıp Dergisi Vol.34 Issue 1, pp.71-77

Belge Tipi:

Makale

Yayın Tarihi:

2/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001312229

pISSN:

2602-3741