Li Tianyou,Guo Feng,Li Long,et al.Bernese pelvic triple osteotomy in the treatment of developmental dysplasia of the hip.[J].Journal of Clinical Pediatric Surgery,,17():753-757.
Bernese pelvic triple osteotomy in the treatment of developmental dysplasia of the hip.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 10
Page:
753-757
Column:
专题讨论
Date of publication:
2018-10-25
- Keywords:
- Hip Joint/GD; Pelvis; Osteotomy; Femur Head Necrosis; FollowUp Studies
- Document code:
- A
- Abstract:
- ObjectiveTo explore the midterm outcomes of Bernese pelvic triple osteotomy for developmental dysplasia of the hip (DDH). MethodsA total of 29 patients (33 hips) underwent Bernese pelvic triple osteotomy from November 2010 to November 2011.There were 8 boys and 21 girls with a mean age of 8.67 (3-16) years.The involved side was left (n=18) and right (n=15).Before operation，11 cases (13 hips) were treated conservatively (cast and/or brace) while the remainder (7 hips) underwent open reduction with pelvic and/or femoral osteotomy.All ases were followed regularly after operation.Clinical and radiographic outcomes were evaluated with the Mckay criteria and modified Severin criteria respectively.And the correlation factors of clinical and radiographic outcomes，including age，pathological type and previous treatment were analyzed.ResultsTwentysix patients (30 hips) were followed up for an average time of 78 (53-90) months.According to the Mckay criteria，the outcomes for hips were excellent (n=12，40.0%)，good (n=14，46.7%)，fair (n=1，3.3%) and poor (n=3，10.0%).Based upon the modified Severin classification，the grades for hips were Ⅰ (n=9，30.0%)，Ⅱ (n=18，60.0%)，Ⅳ (n=1，3.3%) and Ⅴ (n=2，6.7%) hips.Excellent clinical function was not correlated with age，pathological type or previous treatment.However，excellent radiographic grading was correlated with these factors while the percentage of excellence was higher in cases aged under 8 years，acetabula dysplasia and those with previous treatment.ConclusionThe midterm outcome of Bernese pelvic osteotomy for DDH is excellent，especially for those aged under 8 years and acetabula dysplasia.Osteotomy is worth a wider clinical popularization.
Last Update:
2018-10-24