Early-term hip development following Pemberton osteotomy: a radiological follow-up

Sarıkaya, Baran; Sipahioğlu, Serkan; Sarıkaya, Zeynep Bekin; Altay, Mehmet Akif; Işıkan, Uğur Erdem

doi:10.5606/ehc.2016.18

Cited by 2 publications

(1 citation statement)

References 19 publications

(24 reference statements)

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“…In ideal treatment of DDH, early diagnosis can be made in presence of concentric reduction without causing epiphysis destruction and continuation of this reduction. If DDH is detected in the first years of life, the treatment can be often done easily and the development of the affected hip may exhibit normal results 5, 6. However, DDH can progress silently until around 40–50 years of age and can be diagnosed when it shows symptoms such as pain, limitation of movement.…”

Section: Introductionmentioning

confidence: 99%

Assessing the risk of asymptomatic dysplasia in parents of children with developmental hip dysplasia

Ayanoğlu

Ataoğlu

Tokgöz

et al. 2019

Acta Orthopaedica et Traumatologica Turcica

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ObjectiveThe aim of this study was to investigate whether being the parents of children with developmental hip dysplasia (DDH) is a risk factor for asymptomatic dysplasia.MethodsAsymptomatic parents of children who were diagnosed with DDH were assessed for presence of dysplasia by examining their anteroposterior pelvis radiographs at the neutral position. Eighty-six hips of 43 participants were included in the study group and 98 hips of 49 participants were included in the control group. Presence of hip dysplasia over the anteroposterior pelvis radiographs was analyzed for Wiberg's angle, acetabular index of the weight-bearing zone (the Tönnis angle), acetabular depth/width index, femoral head coverage ratio (FHCR) and femoral neck/shaft angle.ResultsThe mean acetabular depth/width ratio was 44.3% in the study group and 53.5% in the control group. And, the mean FHCR was 80% in the study group and 82% in the control group. There was a statistically significant difference between the two groups in terms of mean acetabular depth/width ratio (p < 0.05) and FHCR (p < 0.05). In addition, 21 participants in the study group and 2 in the control group had a pathological acetabular depth/width ratio. And, the number of participants with a pathological FHCR was 22 in the study group and 13 in the control group. A statistically significant difference was found between the two groups regarding the number of pathological measurements of acetabular depth/width ratio (p < 0.05) and FHCR (p < 0.05).ConclusionHaving a parent with DDH is a definitive risk factor for the development of hip dysplasia in childhood. In addition, being a parent of a child with DDH is a risk factor for asymptomatic dysplasia. These parents should be screened by roentgenogram.Level of EvidenceLevel III, Diagnostic Study.

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Section: Introductionmentioning

confidence: 99%

Assessing the risk of asymptomatic dysplasia in parents of children with developmental hip dysplasia

Ayanoğlu

Ataoğlu

Tokgöz

et al. 2019

Acta Orthopaedica et Traumatologica Turcica

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The early radiological effects of Dega and Pemberton osteotomies on hip development in children aged 4–8 years with developmental dysplasia of the hip

Sarıkaya

Sipahioğlu

Sarıkaya

et al. 2018

Journal of Pediatric Orthopaedics B

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We aimed to investigate the early radiological effects of Dega and Pemberton iliac osteotomies that were performed in patients aged 4-8 years with developmental dysplasia of the hip on development of hip joint. Dega osteotomy or Pemberton osteotomy was performed in 76 hips of 58 patients because of developmental dysplasia of the hip between September 2011 and June 2015 and were evaluated retrospectively. Of a total of 76 hips, Pemberton osteotomy was performed on 39 (19 unilateral) and Dega osteotomy was performed on 37 (21 unilateral). In all hips, the acetabular index, acetabular depth ratio, centre-edge angle of Wiberg, and Reimer's index values were recorded preoperatively and at the final follow-up. We measured the surface areas of the femoral head ossific nucleus in patients with unilateral dysplastic hips and compared results before both osteotomy procedures and at the final follow-up. There were no statistically significant differences between the groups in terms of the acetabular index and acetabular depth ratio values (P>0.05) preoperatively and at the final follow-up, but the mean centre-edge angle of Wiberg and Reimer's index values showed significant statistical differences in favor of the Dega procedure (P<0.05). There was a statistically significant difference in favor of the Pemberton procedure when the mean ratio of the surface area of the femoral head ossific nucleus on the dysplastic side in relation to the normal side was compared preoperatively (P=0.042) and at the final follow-up (P=0.027) in unilateral hips. Although Dega and Pemberton osteotomies produce satisfactory radiological outcomes at early stages in children aged 4-8 years with developmental dysplasia of the hip, a higher rate in the surface area of the femoral head ossific nucleus was observed in the Pemberton osteotomy group, which also had a lower mean age than the Dega osteotomy group.

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Early-term hip development following Pemberton osteotomy: a radiological follow-up

Cited by 2 publications

References 19 publications

Assessing the risk of asymptomatic dysplasia in parents of children with developmental hip dysplasia

Assessing the risk of asymptomatic dysplasia in parents of children with developmental hip dysplasia

The early radiological effects of Dega and Pemberton osteotomies on hip development in children aged 4–8 years with developmental dysplasia of the hip

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