Computed tomography measurements were made to quantify the relationship between the anteversion of the acetabulum and femoral neck in 27 early walking age patients (age range; 18-48 months) with developmental dysplasia of the hip. The centre-edge angle and acetabular index were measured in standard pelvis radiographs, and anteversion of acetabulum and femoral neck were measured by use of two-dimensional computed tomography in 25 complete dislocated, 19 subluxated and 10 unaffected hips (a total of 54 hips). The diagnosis of dysplasia, subluxation and complete dislocation of developmental hip dysplasia were determined radiographically using Ishida's criteria. There were statistically significant differences between the three groups for the centre-edge angle, the acetabular index, and acetabulum anteversion. There was no statistically significant difference between the three groups for femoral neck anteversion. The acetabular anteversion was found to be 13.4+/-2.8 degrees (mean+/-SD) in unaffected hips, 16.7+/-1.9 degrees in subluxated hips and 19.8+/-2.5 degrees in complete dislocated hips. There was statistically significant difference between the three groups, with a wide range of acetabular anteversion values noted in all groups (9-26 degrees ). The acetabular anteversion was increased on the dislocated side in each patient and we found no retroverted acetabulum. On the other hand there was no significant difference between the groups with regards to femoral neck anteversion. We conclude that confirming anteversion of the acetabulum and the femoral neck by two-dimensional computed tomography is needed in treatment planning of early walking age patients with developmental hip dysplasia.
Rupture of anterior cruciate ligament is a common injury during both sports and leisure time activities. Recently attention has been focused on the use of accelerated rehabilitation protocols after anterior cruciate ligament reconstruction. The goal of the rehabilitation after ACL reconstruction is to return to the preinjury activity level as fast as possible. The study was designed to evaluate accelerated rehabilitation programme for final knee function in patients who had ACL reconstruction. A total of 26 patients who had arthroscopic reconstruction after ACL rupture were included in the study. Accelerated rehabilitation programme was applied to all patients. The patients were reexamined on 12th week and 24th weeks. Rehabilitation programme included progressive increase in range of motion, full unassisted weight bearing, and return to participation in daily living. After explaining the exercises, the number of exercise sets and repetitions were prescribed to all patients. It was observed that the patients returned to their daily living activities on 12th week after reconstruction. Complications such as effusion, pain and stiffness of the knee joint were not observed. In conclusion, we suggest that accelerated rehabilitation is effective for early recovery of knee joint functions.
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