Combined open reduction and Dega transiliac osteotomy for developmental dysplasia of the hip in walking children

被引:1
|
作者
Ibrahim, Mazen M. [1 ,2 ]
El-Lakkany, Mohamed R. S. [1 ,2 ]
Wahba, Mohamed M. [1 ,2 ]
El-Ganainy, Abd-Elrahman A. [1 ,2 ]
Aly, Ayman M. A. [1 ,2 ]
机构
[1] Mansoura Univ Hosp, Orthopaed Dept, Orthopaed Surg, Mansoura, Egypt
[2] Mansoura Univ, Fac Med, Mansoura, Egypt
来源
ACTA ORTHOPAEDICA BELGICA | 2019年 / 85卷 / 04期
关键词
DDH at walking age; open reduction; Dega iliac osteotomy; ONE-STAGE TREATMENT; SALTER INNOMINATE OSTEOTOMY; CONGENITAL DISLOCATION; ACETABULAR DYSPLASIA; AVASCULAR NECROSIS; SURGICAL-TREATMENT; PELVIC OSTEOTOMY; SUBLUXATION; ACETABULOPLASTY; DISPLACEMENT;
D O I
暂无
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The iliac osteotomy described by Dega in Poland, in 1969, is an acetabu loplasty that changes the acetabular configuration and its inclination. The aim of this work is to analyze a group of patients with DDH treated by combined open reduction and Dega transiliac osteotomy ,to evaluate the results and determine the advantages and disadvantages, as well as, assess the factors affecting the final outcome of such procedure. A prospective study was conducted during the period, from November 2010 to October 2014, on 39 hips, in 29 children, with neglected DDH after walking age, either diagnosed late or after failure to respond to previous non operative treatment. The mean age at the time of surgery was 27.6 months ranging from 18 to 48 months. All hips were followed up clinically and radiologically for a mean period of 33.6 months (range from 18 to 48 months). No patient was lost to follow up. At the end of follow up, satisfactory final clinical results were obtained in 34 hips (87.2%) and unsatisfactory in 5 (12.8%) according to McKay's criteria. Radiologically, satisfactory results were obtained in 32 hips (82.1%) and unsatisfactory in seven (17.9%), according to Severin's criteria. In conclusion, the results of our series show open reduction combined with Dega transiliac osteotomy to be a safe and efficient method for the surgical treatment of DDH in selected patients, and can easily and safely be combined with associated procedures for single stage correction of acetabular dysplasia.
引用
收藏
页码:545 / 553
页数:9
相关论文
共 50 条
  • [21] Radiological results of modified Dega osteotomy in Tonnis grade 3 and 4 developmental dysplasia of the hip
    Akgul, Turgut
    Goksan, Suleyman Bora
    Bilgili, Fuat
    Valiyev, Natiq
    Hurmeydan, Onder Murat
    JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 2014, 23 (04): : 333 - 338
  • [22] MODIFIED DEGA OSTEOTOMY IN TREATING DEVELOPMENTAL DYSPLASIA OF THE HIP (vol 26, pg 30, 2018)
    Guarniero, Roberto
    Sanchez, Fernando Barbosa
    Ferreira Massa, Bruno Sergio
    Montenegro, Nei Botter
    Grangeiro, Patricia Moreno
    Agrizzi De Angeli, Luiz Renato
    ACTA ORTOPEDICA BRASILEIRA, 2018, 26 (02): : 145 - 145
  • [23] Dega's transiliac osteotomy in the treatment of spastic hip subluxation and dislocation in cerebral palsy
    Józwiak, M
    Marciniak, W
    Piontek, T
    Pietrzak, S
    JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 2000, 9 (04): : 257 - 264
  • [24] The Dega Osteotomy: A Versatile Osteotomy in the Treatment of Developmental and Neuromuscular Hip Pathology
    Karlen, Judson W.
    Skaggs, David L.
    Ramachandran, Manoj
    Kay, Robert M.
    JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2009, 29 (07) : 676 - 682
  • [25] Pemberton osteotomy for developmental dysplasia of the hip in older children
    Wada, A
    Fujii, T
    Takamura, K
    Yanagida, H
    Taketa, M
    Nakamura, T
    JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2003, 23 (04) : 508 - 513
  • [26] More than 20 years of experience with Dega transiliac osteotomy in the treatment of dislocated hip joints in children with cerebral palsy
    Pruszczynski, Blazej
    Synder, Marek
    Drobniewski, Marek
    Borowski, Andrzej
    JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 2023, 32 (03): : 221 - 226
  • [27] Revision open reduction in developmental dysplasia of the hip
    Alassaf, Nabil
    INTERNATIONAL ORTHOPAEDICS, 2025, 49 (01) : 177 - 182
  • [28] Operative treatment of paralytic hip dislocation in myelomeningocele by Dega transiliac osteotomy combined with iliopsoas transfer: technique and historical case series
    Napiontek, Marek
    Shadi, Milud
    JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 2023, 32 (03): : 230 - 235
  • [29] Test of stability as an aid to decide the need for osteotomy in association with open reduction in developmental dysplasia of the hip
    Ömeroglu, H
    JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2000, 82B (06): : 933 - 933
  • [30] One-stage correction of neglected developmental dysplasia of the hip by open reduction and Pemberton osteotomy
    Shih, KS
    Wang, JH
    Wang, TM
    Huang, SC
    JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION, 2001, 100 (06) : 397 - 402