Tratamento cirúrgico do quadril displásico inveterado

• Autor(a) principal: Dobashi, Eiffel Tsuyoshi [UNIFESP]
• Data de Publicação: 2006
• Outros Autores: Kiyohara, Robinson Toshimitsu [UNIFESP], Matsuda, Marcelo Mitsuro [UNIFESP], Milani, Carlo [UNIFESP], Kuwajima, Sérgio Satoshi [UNIFESP], Ishida, Akira [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S1413-78522006000400001; http://repositorio.unifesp.br/handle/11600/2856
• topic: Hip Dislocation; Congenital; Osteotomy; Radiograph; Luxação Congênita de Quadril; Osteotomia; Radiografia

We assessed 50 patients (57 hips) with Hip development Inveterate Dysplasia, divided into 2 groups, according to treatments applied. Group A was constituted of 20 patients (24 hips), 2 males and 18 females, with mean age = 65.92m in which preoperative traction was employed for 2-4 weeks, when a bloody reduction, a Salter or Chiari osteotomy and a shortening and rotating-varusing intertrochanteric osteotomy were performed. Group B was formed by 30 patients (33 hips), 1 male and 29 females, with mean age = 52.88m. In those, a diaphyseal femoral osteotomy for shortening, bloody reduction, and Salter or Chiari osteotomy were performed. For X-ray evaluation, the following were analyzed: the Wiberg angle, avascular necrosis; femoral head roundness; discrepancy between lower limbs. For clinical evaluation purposes, we assessed: pain, Trendelenburg, neurological test and range of motion. Clinically, we observed 14 (58.33%) good outcomes and 10 (41.67%) fair outcomes for Group A, and 23 (69.70%) good and 10 (30.30%) fair outcomes for Group B. On X-Ray, outcomes were regarded as good in 9 (37.50%), fair in 5 (20.83%) and bad in 10 (41.67%) for Group A, and good in 23 (69.70%), fair in 5 (15.15%), and bad in 5 (15.15%) patients of Group B. After a statistical analysis, we found better outcomes in Group B.