Research Article
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Year 2020, Volume: 1 Issue: 1, 14 - 19, 15.06.2020

Abstract

References

  • 1. Agus H, Bozoglan M, Kalenderer Ö, Kazımoğlu C, Onvural B, Akan İ. How are outcomes affected by performing a one-stage combined procedure simultaneously in bilateral developmental hip dysplasia? International orthopaedics. 2014;38(6):1219-24.
  • 2. Murphy RF, Kim Y-J. Surgical management of pediatric developmental dysplasia of the hip. Journal of the American Academy of Orthopaedic Surgeons. 2016;24(9):615-24.
  • 3. Schwend RM, Shaw BA, Segal LS. Evaluation and treatment of developmental hip dysplasia in the newborn and infant. Pediatric Clinics. 2014;61(6):1095-107.
  • 4. Aydin A, Kalali F, Yildiz V, Ezirmik N, Aydin P, Dostbil A. The results of Pemberton's pericapsular osteotomy in patients with developmental hip dysplasia. Acta orthopaedica et traumatologica turcica. 2012;46(1):35-41.
  • 5. Pemberton PA. Pericapsular osteotomy of the ilium for treatment of congenital subluxation and dislocation of the hip. JBJS. 1965;47(1):65-86.
  • 6. Gillingham BL, Sanchez AA, Wenger DR. Pelvic osteotomies for the treatment of hip dysplasia in children and young adults. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 1999;7(5):325-37.
  • 7. Zorer G, Bagatur AE. Single-stage bilateral Pemberton's pericapsular osteotomy in bilateral developmental dysplasia of the hip. Acta orthopaedica et traumatologica turcica. 2002;36(4):288-94.
  • 8. Narayanan U, Mulpuri K, Sankar WN, Clarke NM, Hosalkar H, Price CT, et al. Reliability of a new radiographic classification for developmental dysplasia of the hip. Journal of pediatric orthopedics. 2015;35(5):478.
  • 9. Severin E. Congenital dislocation of the hip: development of the joint after closed reduction. JBJS. 1950;32(3):507-18.
  • 10. Mckay DW. A comparison of the innominate and the pericapsular osteotomy in the treatment of congenital dislocation of the hip. Clinical Orthopaedics and Related Research®. 1974;98:124-32.
  • 11. Kalamchi A, MacEwen GD. Avascular necrosis following treatment of congenital dislocation of the hip. JBJS. 1980;62(6):876-88.
  • 12. Wu K-W, Wang T-M, Huang S-C, Kuo KN, Chen C-W. Analysis of osteonecrosis following Pemberton acetabuloplasty in developmental dysplasia of the hip: long-term results. JBJS. 2010;92(11):2083-94.
  • 13. Wang T-M, Wu K-W, Shih S-F, Huang S-C, Kuo KN. Outcomes of open reduction for developmental dysplasia of the hip: does bilateral dysplasia have a poorer outcome? JBJS. 2013;95(12):1081-6.
  • 14. Alsiddiky A, Alatassi R, Alqarni MM, Bakerman K. Simultaneous bilateral single-stage combined open reduction and pelvic osteotomy for the treatment of developmental dysplasia of the hip. Journal of Pediatric Orthopaedics B. 2020.
  • 15. Subasi M, Arslan H, Cebesoy O, Buyukbebeci O, Kapukaya A. Outcome in unilateral or bilateral DDH treated with one-stage combined procedure. Clinical orthopaedics and related research. 2008;466(4):830-6.
  • 16. Baki ME, Baki C, Aydin H, Ari B, Özcan M. Single-stage medial open reduction and Pemberton acetabuloplasty in developmental dysplasia of the hip. Journal of pediatric orthopedics Part B. 2016;25(6):504.
  • 17. Wilder RT, Flick RP, Sprung J, Katusic SK, Barbaresi WJ, Mickelson C, et al. Early exposure to anesthesia and learning disabilities in a population-based birth cohort. Anesthesiology: The Journal of the American Society of Anesthesiologists. 2009;110(4):796-804.
  • 18. Schneuer FJ, Bentley JP, Davidson AJ, Holland AJ, Badawi N, Martin AJ, et al. The impact of general anesthesia on child development and school performance: a population‐based study. Pediatric Anesthesia. 2018;28(6):528-36.
  • 19. Ezirmik N, Yildiz K. Advantages of single-stage surgical treatment with salter innominate osteotomy and Pemberton pericapsular osteotomy for developmental dysplasia of both hips. Journal of International Medical Research. 2012;40(2):748-55.
  • 20. Zorer G, Bagatur A. Single-stage bilateral Pemberton's pericapsular osteotomy in bilateral developmental dysplasia of the hip. Acta orthopaedica et traumatologica turcica. 2002;36(4):288-94.
  • 21. Ochoa O, Seringe R, Soudrie B, Zeller R. Salter's single-stage bilateral pelvic osteotomy. Revue de chirurgie orthopedique et reparatrice de l'appareil moteur. 1991;77(6):412-8.
  • 22. Aghayev E, Beck A, Staub LP, Dietrich D, Melloh M, Orljanski W, et al. Simultaneous bilateral hip replacement reveals superior outcome and fewer complications than two-stage procedures: a prospective study including 1819 patients and 5801 follow-ups from a total joint replacement registry. BMC musculoskeletal disorders. 2010;11(1):245.
  • 23. Parvizi J, Tarity TD, Sheikh E, Sharkey PF, Hozack WJ, Rothman RH. Bilateral total hip arthroplasty: one-stage versus two-stage procedures. Clinical orthopaedics and related research. 2006;453:137-41.
  • 24. Lorenze M, Huo MH, Zatorski LE, Keggi KJ. A comparison of the cost effectiveness of one-stage versus two-stage bilateral total hip replacement. Orthopedics. 1998;21(12):1249-52.
  • 25. Berend KR, Lombardi Jr AV, Adams JB. Simultaneous vs staged cementless bilateral total hip arthroplasty: perioperative risk comparison. The Journal of arthroplasty. 2007;22(6):111-5.

Short-Mid Term Results of Open Reduction and Simultaneous Single Stage Pemberton Pericapsular Osteotomy in Patients with Bilateral Developmental Hip Dysplasia

Year 2020, Volume: 1 Issue: 1, 14 - 19, 15.06.2020

Abstract

Objective: In this study, we aimed to publish the data on the clinical-radiological outcomes and perioperative analysis of PPO applied simultaneously in patients with bilateral developmental hip dysplasia compared with the literature.
Materials and Methods: In the study, which was retrospectively analyzed, 75 patients (150 hips) who were followed up for at least 1 year between 2010-2018 were included in the study. Preoperative radiological Asetabular Index (AI) measurement and the International Hip Dysplasia Institute (IHDI) classification, postoperative radiological AI measurement and severin classification, clinically McKay criteria, for osteonecrosis Kalamchi-MacEwen classification were used. In the perioperative analysis, the duration of anesthesia exposure, hospital stay, and total cost were evaluated.
Results: Sixty-seven patients were girls and 8 patients were boys. The mean follow-up times were 31.65 ± 16.2 (12-60) months and the age of surgery was 21.4 (18-36). There was no statistically significant difference between the mean follow-up times and surgical ages between both genders (p = 0.681). A statistically significant difference between the mean corrected AI (p = 0.509), intraoperative bleeding amount (p = 0.431), hospital stay time (p = 0.909), anesthesia exposure (p = 0.368) and cost (p = 0.531) between both sex no difference was found. It was statistically significant for the right and left hips in pre-postoperative AI (p <0.001). Clinical and radiological results were found in similar rates to the literature.
Conclusion: Compared with the literature, clinical and radiological results were found in similar rates in patients who underwent simultaneous PPO. In addition, simultaneous PPO reduces anesthesia exposure time, hospital stay and total cost. Simultaneous procedure seems to be advantageous for surgeons who have sufficient experience in PPO or who have started using this technique routinely.

References

  • 1. Agus H, Bozoglan M, Kalenderer Ö, Kazımoğlu C, Onvural B, Akan İ. How are outcomes affected by performing a one-stage combined procedure simultaneously in bilateral developmental hip dysplasia? International orthopaedics. 2014;38(6):1219-24.
  • 2. Murphy RF, Kim Y-J. Surgical management of pediatric developmental dysplasia of the hip. Journal of the American Academy of Orthopaedic Surgeons. 2016;24(9):615-24.
  • 3. Schwend RM, Shaw BA, Segal LS. Evaluation and treatment of developmental hip dysplasia in the newborn and infant. Pediatric Clinics. 2014;61(6):1095-107.
  • 4. Aydin A, Kalali F, Yildiz V, Ezirmik N, Aydin P, Dostbil A. The results of Pemberton's pericapsular osteotomy in patients with developmental hip dysplasia. Acta orthopaedica et traumatologica turcica. 2012;46(1):35-41.
  • 5. Pemberton PA. Pericapsular osteotomy of the ilium for treatment of congenital subluxation and dislocation of the hip. JBJS. 1965;47(1):65-86.
  • 6. Gillingham BL, Sanchez AA, Wenger DR. Pelvic osteotomies for the treatment of hip dysplasia in children and young adults. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 1999;7(5):325-37.
  • 7. Zorer G, Bagatur AE. Single-stage bilateral Pemberton's pericapsular osteotomy in bilateral developmental dysplasia of the hip. Acta orthopaedica et traumatologica turcica. 2002;36(4):288-94.
  • 8. Narayanan U, Mulpuri K, Sankar WN, Clarke NM, Hosalkar H, Price CT, et al. Reliability of a new radiographic classification for developmental dysplasia of the hip. Journal of pediatric orthopedics. 2015;35(5):478.
  • 9. Severin E. Congenital dislocation of the hip: development of the joint after closed reduction. JBJS. 1950;32(3):507-18.
  • 10. Mckay DW. A comparison of the innominate and the pericapsular osteotomy in the treatment of congenital dislocation of the hip. Clinical Orthopaedics and Related Research®. 1974;98:124-32.
  • 11. Kalamchi A, MacEwen GD. Avascular necrosis following treatment of congenital dislocation of the hip. JBJS. 1980;62(6):876-88.
  • 12. Wu K-W, Wang T-M, Huang S-C, Kuo KN, Chen C-W. Analysis of osteonecrosis following Pemberton acetabuloplasty in developmental dysplasia of the hip: long-term results. JBJS. 2010;92(11):2083-94.
  • 13. Wang T-M, Wu K-W, Shih S-F, Huang S-C, Kuo KN. Outcomes of open reduction for developmental dysplasia of the hip: does bilateral dysplasia have a poorer outcome? JBJS. 2013;95(12):1081-6.
  • 14. Alsiddiky A, Alatassi R, Alqarni MM, Bakerman K. Simultaneous bilateral single-stage combined open reduction and pelvic osteotomy for the treatment of developmental dysplasia of the hip. Journal of Pediatric Orthopaedics B. 2020.
  • 15. Subasi M, Arslan H, Cebesoy O, Buyukbebeci O, Kapukaya A. Outcome in unilateral or bilateral DDH treated with one-stage combined procedure. Clinical orthopaedics and related research. 2008;466(4):830-6.
  • 16. Baki ME, Baki C, Aydin H, Ari B, Özcan M. Single-stage medial open reduction and Pemberton acetabuloplasty in developmental dysplasia of the hip. Journal of pediatric orthopedics Part B. 2016;25(6):504.
  • 17. Wilder RT, Flick RP, Sprung J, Katusic SK, Barbaresi WJ, Mickelson C, et al. Early exposure to anesthesia and learning disabilities in a population-based birth cohort. Anesthesiology: The Journal of the American Society of Anesthesiologists. 2009;110(4):796-804.
  • 18. Schneuer FJ, Bentley JP, Davidson AJ, Holland AJ, Badawi N, Martin AJ, et al. The impact of general anesthesia on child development and school performance: a population‐based study. Pediatric Anesthesia. 2018;28(6):528-36.
  • 19. Ezirmik N, Yildiz K. Advantages of single-stage surgical treatment with salter innominate osteotomy and Pemberton pericapsular osteotomy for developmental dysplasia of both hips. Journal of International Medical Research. 2012;40(2):748-55.
  • 20. Zorer G, Bagatur A. Single-stage bilateral Pemberton's pericapsular osteotomy in bilateral developmental dysplasia of the hip. Acta orthopaedica et traumatologica turcica. 2002;36(4):288-94.
  • 21. Ochoa O, Seringe R, Soudrie B, Zeller R. Salter's single-stage bilateral pelvic osteotomy. Revue de chirurgie orthopedique et reparatrice de l'appareil moteur. 1991;77(6):412-8.
  • 22. Aghayev E, Beck A, Staub LP, Dietrich D, Melloh M, Orljanski W, et al. Simultaneous bilateral hip replacement reveals superior outcome and fewer complications than two-stage procedures: a prospective study including 1819 patients and 5801 follow-ups from a total joint replacement registry. BMC musculoskeletal disorders. 2010;11(1):245.
  • 23. Parvizi J, Tarity TD, Sheikh E, Sharkey PF, Hozack WJ, Rothman RH. Bilateral total hip arthroplasty: one-stage versus two-stage procedures. Clinical orthopaedics and related research. 2006;453:137-41.
  • 24. Lorenze M, Huo MH, Zatorski LE, Keggi KJ. A comparison of the cost effectiveness of one-stage versus two-stage bilateral total hip replacement. Orthopedics. 1998;21(12):1249-52.
  • 25. Berend KR, Lombardi Jr AV, Adams JB. Simultaneous vs staged cementless bilateral total hip arthroplasty: perioperative risk comparison. The Journal of arthroplasty. 2007;22(6):111-5.
There are 25 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Articles
Authors

Muhammed Çağatay Engin

Kemal Zencirli

Mehmet Köse

Neci Ezirmik

Publication Date June 15, 2020
Submission Date May 31, 2020
Published in Issue Year 2020 Volume: 1 Issue: 1

Cite

EndNote Engin MÇ, Zencirli K, Köse M, Ezirmik N (June 1, 2020) Short-Mid Term Results of Open Reduction and Simultaneous Single Stage Pemberton Pericapsular Osteotomy in Patients with Bilateral Developmental Hip Dysplasia. New Trends in Medicine Sciences 1 1 14–19.