Atatürk Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 25240 Yakutiye Erzurum, Türkiye.
Jt Dis Relat Surg. 2021;32(3):605-610. doi: 10.52312/jdrs.2021.38. Epub 2021 Nov 19.
This study aims to compare the radiological outcomes and rate of complication between single-stage and staged operation for the treatment of bilateral developmental dysplasia of the hip (DDH).
A total of 100 patients (13 males, 87 females; mean age: 18.1±2.1 months; range, 12 to 36 months) with bilateral DDH who were older than 15 months of age and treated with open reduction (OR) or Pemberton pericapsular osteotomy (PPO) were retrospectively analyzed. Of the patients, 48 were operated with OR and 52 were operated with PPO. Improvements in acetabular indices, presence of avascular necrosis, radiological results, and other complications were noted.
There was no statistically significant difference in the preoperative acetabular indices, range of International Hip Dysplasia Institute (IHDI) classification, follow-up period, and age at the time of operation between the groups (p>0.05). There was no statistically significant difference in the acetabular indices, rate of avascular necrosis, and radiological results at the end of 24 months of follow-up between the groups (p>0.05).
Our study results show no significant difference in the radiological outcomes and complications between simultaneous and staged surgeries for the treatment of bilateral DDH in children in the walking age.
本研究旨在比较双侧发育性髋关节发育不良（DDH）的一期和分期手术治疗的影像学结果和并发症发生率。
回顾性分析了 100 例年龄大于 15 个月且接受切开复位（OR）或 Pemberton 关节囊周围截骨术（PPO）治疗的双侧 DDH 患者（男性 13 例，女性 87 例；平均年龄 18.1±2.1 个月；范围 12 至 36 个月）。其中 48 例接受 OR 手术，52 例接受 PPO 手术。记录髋臼指数的改善、有无股骨头缺血性坏死、影像学结果和其他并发症。
两组患者的术前髋臼指数、国际髋关节发育不良研究所（IHDI）分类范围、随访时间和手术时年龄差异均无统计学意义（p>0.05）。两组患者的髋臼指数、股骨头缺血性坏死发生率和 24 个月随访时的影像学结果差异均无统计学意义（p>0.05）。
本研究结果表明，在行走年龄儿童中，双侧 DDH 的同期和分期手术治疗在影像学结果和并发症方面无显著差异。
