Document Detail


Chiari pelvic osteotomy in the treatment of adolescent hip disorders: possibilities, limitations and complications.
MedLine Citation:
PMID:  20878156     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ninety-nine hips treated by the Chiari pelvic osteotomy were included in this study designed as a retrospective review. The group consisted of 36 male and 50 female patients, with mean age of 15.6 years. Each was diagnosed with developmental dysplasia of the hip (DDH) or avascular necrosis of the femoral head--Legg-Calve-Perthes disease (LCP)--and postreduction avascular necrosis (PAN). Five hip parameters (the acetabular angle of Sharp, the center-edge (CE) angle of Wiberg, the percentage of femoral head uncoverage, the acetabular depth ratio, and the Shenton-Menard arch continuity) were evaluated. Functional outcome was assessed according to Harris hip score (HHS) and McKay criteria for clinical evaluation. The postoperative results showed improvement in all the radiographic parameters. The angle of Sharp showed a decrease of 8.62º (p < 0.01). The CE angle of Wiberg showed an increase of 28.76º (p < 0.01), and the uncoverage of the femoral head showed a decrease of 51.51% (p < 0.01). The improvement of HHS was 11.93 (p < 0.05). The patients' satisfaction was indicated by grade 4.1 ± 0.94 and the doctor's satisfaction by grade 3.7 ± 1.16. The Chiari pelvic osteotomy, in spite of the development of biologically better procedures, has retained its position in the treatment of adolescent hip disorders.
Authors:
Zoran Vukasinovic; Dusko Spasovski; Nemanja Slavkovic; Zoran Bascarevic; Zorica Zivkovic; Branislav Starcevic
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Publication Detail:
Type:  Journal Article     Date:  2010-09-28
Journal Detail:
Title:  International orthopaedics     Volume:  35     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-03     Completed Date:  2011-12-06     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1203-8     Citation Subset:  IM    
Affiliation:
Institute for Orthopaedic Surgery "Banjica", University of Belgrade, Medical Faculty, Belgrade, Serbia. zvukasin@beotel.net
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Female
Femur Head / pathology,  surgery*
Health Status
Hip Dislocation, Congenital / diagnosis,  physiopathology,  surgery*
Humans
Legg-Calve-Perthes Disease / diagnosis,  physiopathology,  surgery*
Male
Osteotomy / adverse effects,  methods*
Patient Satisfaction
Pelvic Bones / pathology,  radiography,  surgery*
Postoperative Complications
Recovery of Function
Retrospective Studies
Severity of Illness Index
Young Adult
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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