Modified Salter Pelvic Osteotomy for DDH treatment which may improve both anterior and posterior femoral head coverage.
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | |
Tipo de documento: | preprint |
Idioma: | eng |
Título da fonte: | SciELO Preprints |
Texto Completo: | https://preprints.scielo.org/index.php/scielo/preprint/view/3407 |
Resumo: | Objective: Three pelvic osteotomies (Salter, Dega, Pemberton) are widely used in walking patients under 7 years old for DDH treatment. We’ve proposed a modified Salter Pelvic Osteotomy (SPO), which has the advantages of the abovementioned osteotomies. Methods: Short- and mid-term results were assessed in 19 patients after modified SPO application. Patients were examined before and after the surgery, at 6 months postoperatively and at follow-up. Results: Acetabular Index (AI) before the surgery was 39.5 ± 7 °, after the surgery - 24.4 ± 5.5 °, at 6 months - 20.4 ± 5 ° (9-28), at follow-up - 14.5 ± 4 °; AI correction - 14.9 ± 5.5 °. Lateral Centre-Edge Angle at follow-up - 22.7 ± 4.7 °. Clinical results at follow-up were I / II McKay grade in 18 patients (94.7%); radiological results were I / II Severin class in 18 patients (94.7%). Conclusion: Modified SPO allows to improve the FH coverage in any direction; results after modified SPO are excellent and good in the vast majority of patients. Level of Evidence IV, Case Series |
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Modified Salter Pelvic Osteotomy for DDH treatment which may improve both anterior and posterior femoral head coverage.Osteotomia Pélvica de Salter modificada para tratamento de DDQ que pode melhorar a cobertura da cabeça femoral anterior e posteriorDisplasia do Desenvolvimento do QuadrilOsteotomia pélvicaOsteotomiaResultadosModificaçãoDevelopemental Dysplasia of the HipPelvic osteotomyOsteotomyResultsModificationObjective: Three pelvic osteotomies (Salter, Dega, Pemberton) are widely used in walking patients under 7 years old for DDH treatment. We’ve proposed a modified Salter Pelvic Osteotomy (SPO), which has the advantages of the abovementioned osteotomies. Methods: Short- and mid-term results were assessed in 19 patients after modified SPO application. Patients were examined before and after the surgery, at 6 months postoperatively and at follow-up. Results: Acetabular Index (AI) before the surgery was 39.5 ± 7 °, after the surgery - 24.4 ± 5.5 °, at 6 months - 20.4 ± 5 ° (9-28), at follow-up - 14.5 ± 4 °; AI correction - 14.9 ± 5.5 °. Lateral Centre-Edge Angle at follow-up - 22.7 ± 4.7 °. Clinical results at follow-up were I / II McKay grade in 18 patients (94.7%); radiological results were I / II Severin class in 18 patients (94.7%). Conclusion: Modified SPO allows to improve the FH coverage in any direction; results after modified SPO are excellent and good in the vast majority of patients. Level of Evidence IV, Case SeriesObjetivo: Três osteotomias pélvicas (Salter, Dega, Pemberton) são amplamente utilizadas em pacientes que andam com menos de 7 anos para o tratamento de DDQ. Propusemos uma Osteotomia Pélvica de Salter (SPO) modificada, que tem as vantagens das osteotomias acima mencionadas. Métodos: Os resultados de curto e médio prazo foram avaliados em 19 pacientes após a aplicação de SPO modificada. Os pacientes foram examinados antes e após a cirurgia, aos 6 meses de pós-operatório e no seguimento. Resultados: O índice acetabular (IA) antes da cirurgia era de 39,5 ± 7 °, após a cirurgia - 24,4 ± 5,5 °, aos 6 meses - 20,4 ± 5 ° (9-28), no seguimento - 14,5 ± 4 °; Correção AI - 14,9 ± 5,5 °. Lateral angulo centro-borda no acompanhamento - 22,7 ± 4,7 °. Os resultados clínicos no acompanhamento foram grau I / II de McKay em 18 pacientes (94,7%); os resultados radiológicos foram classe I / II de Severin em 18 pacientes (94,7%). Conclusão: O SPO modificado permite melhorar a cobertura de FH em qualquer direção; os resultados após SPO modificado são excelentes e bons na grande maioria dos pacientes. Nível de evidência IV, série de casosSciELO PreprintsSciELO PreprintsSciELO Preprints2022-01-06info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/340710.1590/SciELOPreprints.3407enghttps://preprints.scielo.org/index.php/scielo/article/view/3407/6172Copyright (c) 2022 Vasyl Suvorov, Viktor Filipchukhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSuvorov, VasylFilipchuk, Viktorreponame:SciELO Preprintsinstname:SciELOinstacron:SCI2021-12-24T10:13:05Zoai:ops.preprints.scielo.org:preprint/3407Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2021-12-24T10:13:05SciELO Preprints - SciELOfalse |
dc.title.none.fl_str_mv |
Modified Salter Pelvic Osteotomy for DDH treatment which may improve both anterior and posterior femoral head coverage. Osteotomia Pélvica de Salter modificada para tratamento de DDQ que pode melhorar a cobertura da cabeça femoral anterior e posterior |
title |
Modified Salter Pelvic Osteotomy for DDH treatment which may improve both anterior and posterior femoral head coverage. |
spellingShingle |
Modified Salter Pelvic Osteotomy for DDH treatment which may improve both anterior and posterior femoral head coverage. Suvorov, Vasyl Displasia do Desenvolvimento do Quadril Osteotomia pélvica Osteotomia Resultados Modificação Developemental Dysplasia of the Hip Pelvic osteotomy Osteotomy Results Modification |
title_short |
Modified Salter Pelvic Osteotomy for DDH treatment which may improve both anterior and posterior femoral head coverage. |
title_full |
Modified Salter Pelvic Osteotomy for DDH treatment which may improve both anterior and posterior femoral head coverage. |
title_fullStr |
Modified Salter Pelvic Osteotomy for DDH treatment which may improve both anterior and posterior femoral head coverage. |
title_full_unstemmed |
Modified Salter Pelvic Osteotomy for DDH treatment which may improve both anterior and posterior femoral head coverage. |
title_sort |
Modified Salter Pelvic Osteotomy for DDH treatment which may improve both anterior and posterior femoral head coverage. |
author |
Suvorov, Vasyl |
author_facet |
Suvorov, Vasyl Filipchuk, Viktor |
author_role |
author |
author2 |
Filipchuk, Viktor |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Suvorov, Vasyl Filipchuk, Viktor |
dc.subject.por.fl_str_mv |
Displasia do Desenvolvimento do Quadril Osteotomia pélvica Osteotomia Resultados Modificação Developemental Dysplasia of the Hip Pelvic osteotomy Osteotomy Results Modification |
topic |
Displasia do Desenvolvimento do Quadril Osteotomia pélvica Osteotomia Resultados Modificação Developemental Dysplasia of the Hip Pelvic osteotomy Osteotomy Results Modification |
description |
Objective: Three pelvic osteotomies (Salter, Dega, Pemberton) are widely used in walking patients under 7 years old for DDH treatment. We’ve proposed a modified Salter Pelvic Osteotomy (SPO), which has the advantages of the abovementioned osteotomies. Methods: Short- and mid-term results were assessed in 19 patients after modified SPO application. Patients were examined before and after the surgery, at 6 months postoperatively and at follow-up. Results: Acetabular Index (AI) before the surgery was 39.5 ± 7 °, after the surgery - 24.4 ± 5.5 °, at 6 months - 20.4 ± 5 ° (9-28), at follow-up - 14.5 ± 4 °; AI correction - 14.9 ± 5.5 °. Lateral Centre-Edge Angle at follow-up - 22.7 ± 4.7 °. Clinical results at follow-up were I / II McKay grade in 18 patients (94.7%); radiological results were I / II Severin class in 18 patients (94.7%). Conclusion: Modified SPO allows to improve the FH coverage in any direction; results after modified SPO are excellent and good in the vast majority of patients. Level of Evidence IV, Case Series |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-06 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/preprint info:eu-repo/semantics/publishedVersion |
format |
preprint |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/preprint/view/3407 10.1590/SciELOPreprints.3407 |
url |
https://preprints.scielo.org/index.php/scielo/preprint/view/3407 |
identifier_str_mv |
10.1590/SciELOPreprints.3407 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/article/view/3407/6172 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Vasyl Suvorov, Viktor Filipchuk https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Vasyl Suvorov, Viktor Filipchuk https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
SciELO Preprints SciELO Preprints SciELO Preprints |
publisher.none.fl_str_mv |
SciELO Preprints SciELO Preprints SciELO Preprints |
dc.source.none.fl_str_mv |
reponame:SciELO Preprints instname:SciELO instacron:SCI |
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SciELO |
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SCI |
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SCI |
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SciELO Preprints |
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SciELO Preprints |
repository.name.fl_str_mv |
SciELO Preprints - SciELO |
repository.mail.fl_str_mv |
scielo.submission@scielo.org |
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1797047826478268416 |