Efeito das posições dos enxertos na estabilidade da artroplastia total de quadril com diferentes tipos de encurtamento subtrocantérico

Yazar, Ethem Aytaç; Karakuş, Özgün; Saygı, Baransel

doi:10.1055/s-0039-1694022

Cited by 4 publications

(2 citation statements)

References 25 publications

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“…When performed late or undiagnosed, DDH causes an early degeneration of the joint, leading 86% of these patients to surgical intervention in cases diagnosed up to 10 months of age, such as total hip arthroplasty (YAZAR, et al, 2019).…”

Section: Treatment Of Dysplasiamentioning

confidence: 99%

Influence of physiotherapy treatment for developmental dysplasia of the hip after use of the Pavlik Suspension

Vieira Tavares,

Brandão Amorim,

Vicente Lopes

et al. 2023

ISJHR

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Developmental dysplasia of the hip (DDQ) is an abnormality that affects the hip of the newborn. It can take several forms, such as an abnormal acetabular joint, which may or may not be associated with a subluxation or dislocation of the femoral head. The aims of this article are to analyze the possible influence of physiotherapeutic treatment on the rehabilitation of a patient diagnosed with hip dysplasia using a pavlik brace, based on a theoretical survey on the subject, to understand how the pavlik brace works and to list the kinesiotherapeutic activities performed on patients who use the pavlik brace to treat this comorbidity. This study is a case study carried out in the city of Ponto Belo - ES, where the importance of physiotherapy in the treatment of developmental dysplasia of the hip was explored. The research was carried out primarily through pediatric evaluation, observing the evolution and influence of physiotherapy after the use of the pavlik brace. Based on secondary articles on DDQ, these show various subjects on anatomy, definitions, pathophysiology, epidemiology, diagnosis and treatment. It can be concluded that treatment with the Pavlik brace has proved effective in patients diagnosed with CKD.

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Section: Treatment Of Dysplasiamentioning

confidence: 99%

Influence of physiotherapy treatment for developmental dysplasia of the hip after use of the Pavlik Suspension

Vieira Tavares,

Brandão Amorim,

Vicente Lopes

et al. 2023

ISJHR

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“…Vale a pena ressaltar que, até o décimo mês de vida, os casos não rastreados de DDQ, representam um índice de aproximadamente 80% de necessidade de cirurgia, como por exemplo a artroplastia total do quadril (Busato et al, 2019;Luo et al, 2021). Além disso, há a tentativa de prevenção de osteoartrite, bem como outras doenças, através da realização de osteotomia acetabular ou femoral; apesar disso, é observado em cerca de 40%, algum grau de artrose quando adultos (Barbosa & Albernaz, 2019;Yazar et al, 2019).…”

Section: Introductionunclassified

Análise epidemiológica da displasia do desenvolvimento do quadril em nascidos vivos no Sistema Único de Saúde

Ferreira

Silva

Brandão

et al. 2022

RSD

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O objetivodesteestudoéanalisar o perfil dos diagnósticos por displasia do desenvolvimento do quadril (DDQ), em nascidos vivos, no Brasil, no período de 2016 a 2020. Trata-se de um estudo descritivo, retrospectivo e analítico, acerca das internações decorrentes de DDQ, Código Internacional de Doenças (CID) Q650 a Q659, elaborado através de dados secundários obtidos do Sistema de Informações sobre Nascidos Vivos do Sistema Único de Saúde (SISNAC/SUS), disponibilizados pelo Departamento de Informática do SUS (DATASUS), em recém nascidos, no período de 2016 e 2020, no Brasil. No período analisado, foram registradas 1.150 diagnósticos por deformidades congênitas do quadril, em nascidos vivos, no Brasil. No que tange ao CID das deformidades congênitas do quadril, o maior número de casos concentra-se no CID Q650, luxação congênita unilateral do quadril, com 410 casos (35,65%), seguida do CID Q652, luxação congênita específica do quadril, responsável por 202 casos (21,29%). Quanto à etnia informada dos nascidos vivos, o maior número de casos prevaleceu nas crianças de etnia parda, com um total de 553 casos (448,08%). Em seguida, a etnia branca foi responsável por 475 casos (41,30%). Conclusão: Portanto, esse levantamento evidencia que os casos por displasia do desenvolvimento do quadril por ano, em nascidos vivos, apresentam um valor aproximado, sem grandes variações. Isso ressalta a necessidade de delimitação epidemiológica, para que as políticas públicas, voltadas tanto para o tratamento quanto para a prevenção, sejam direcionadas.

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Subtrochanteric femoral shortening for hip centre restoration in complex total hip arthroplasty with functional outcome

et al. 2020

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Aims Complex total hip arthroplasty (THA) with subtrochanteric shortening osteotomy is necessary in conditions other than developmental dysplasia of the hip (DDH) and septic arthritis sequelae with significant proximal femur migration. Our aim was to evaluate the hip centre restoration with THAs in these hips. Methods In all, 27 THAs in 25 patients requiring THA with femoral shortening between 2012 and 2019 were assessed. Bilateral shortening was required in two patients. Subtrochanteric shortening was required in 14 out of 27 hips (51.9%) with aetiology other than DDH or septic arthritis. Vertical centre of rotation (VCOR), horizontal centre of rotation, offset, and functional outcome was calculated. The mean followup was 24.4 months (5 to 92 months). Results The mean VCOR was 17.43 mm (9.5 to 27 mm) and horizontal centre of rotation (HCOR) was 24.79 mm (17.2 to 37.6 mm). Dislocation at three months following acetabulum reconstruction required femoral shortening for offset correction and hip centre restoration in one hip. Mean horizontal offset was 39.72 (32.7 to 48.2 mm) compared to 42.89 (26.7 to 50.6 mm) on the normal side. Mean Harris Hip Score (HHS) of 22.64 (14 to 35) improved to 79.43 (68 to 92). Mean pre-operative shortening was 3.95 cm (2 to 8 cm). Residual limb length discrepancy was 1.5 cm (0 to 2 cm). Sciatic neuropraxia in two patients recovered by six months, and femoral neuropraxia in one hip recovered by 12 months. Mean Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was 13.92 (9 to 19). Mean 12-item short form survey (SF-12) physical scores of 50.6 and mental of 60.12 were obtained. Conclusion THA with subtrochanteric shortening is valuable in complex hips with high dislocation. The restoration of the hip centre of rotation and offset is important in these hips. Level of evidence IV Femoral shortening useful in conditions other than DDH and septic sequelae. Restoration of hip centre combined with offset to be planned and ensured.

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Efeito das posições dos enxertos na estabilidade da artroplastia total de quadril com diferentes tipos de encurtamento subtrocantérico

Cited by 4 publications

References 25 publications

Influence of physiotherapy treatment for developmental dysplasia of the hip after use of the Pavlik Suspension

Influence of physiotherapy treatment for developmental dysplasia of the hip after use of the Pavlik Suspension

Análise epidemiológica da displasia do desenvolvimento do quadril em nascidos vivos no Sistema Único de Saúde

Subtrochanteric femoral shortening for hip centre restoration in complex total hip arthroplasty with functional outcome

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