Prior Pelvic Osteotomy Affects the Outcome of Subsequent Total Hip Arthroplasty

Yacovelli, Steven; Abdelaal, Mohammad S.; Fillingham, Yale A.; Sutton, Ryan; Madding, Rachel; Parvızı, Javad

doi:10.1016/j.arth.2020.07.080

Cited by 7 publications

(1 citation statement)

References 40 publications

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“…3. Dynamics of pain syndrome in the postoperative period in patients of study groups тотальной артропластики тазобедренного сустава во взрослом возрасте в результате гиперкоррекции положения ацетабулярного фрагмента [13,31].…”

Section: статистический анализunclassified

Surgical Approaches for Triple Pelvic Osteotomy in Children With Hip Dysplastic Instability: Assessment of Muscle Damage

Bortulev

Baskaeva

Barsukov

et al. 2022

Traumatology and Orthopedics of Russia

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Aim - on the basis of clinical and laboratory data, to analyze the degree of muscle injury during triple pelvic osteotomy with various approaches in patients with hip dysplasia Matherials and methods. The study included 70 patients aged 12 to 18 years with dysplasia Crowe I grade treated between 2020 and 2021. All children were divided into two groups - I - 35 patients who underwent triple pelvic osteotomy from an anterolateral approach, group II - 35 patients who underwent triple pelvic osteotomy from two approaches (medial and bikini"). In addition to standard radiometry of hip joints, such indicators as the severity of pain syndrome on the VAS scale were evaluated, as well as biochemical analysis of markers of muscle injury (LDH, CPK, creatinine, AST, C-reactive protein) before surgery and on the 3rd and 7th days after surgery. Results. The intensity of the pain syndrome according to the questionnaire data was more pronounced (p0.05) in patients who underwent surgery from an anterolateral access, and the values of CPK and C-reactive protein significantly (p0.05) exceeded those in patients who underwent triple pelvic osteotomy from two surgical approaches. The data obtained indicate greater surgical aggression against the muscles of the hip joint area during the anterolateral approch for triple pelvic osteotomy. Conslusion. A comparative analysis of the traumaticity of surgical approaches during triple pelvic osteotomy in children with hip dysplasia Crowe I degree, based on the assessment of biochemical indicators of markers of muscle injury and the intensity of pain syndrome in the postoperative period showed that the use of anteriorlateral approach significantly (p0.05) has a greater injury to muscle tissue than the use of two surgical accesses (medial and bikini), as evidenced by significant increases in CPK and CRP in the blood, as well as a more pronounced pain syndrome in the immediate postoperative period.

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Section: статистический анализunclassified