Modified Pemberton Pelvic Osteotomy Through Inner Ilium Approach for Treatment of Developmental Dysplasia of the Hip in Children

作者全名："Su, Yuxi; Nan, Guoxin"

作者地址："[Su, Yuxi; Nan, Guoxin] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders,Children, Dept Orthopaed 2,China Int Sci & Technol Cooperat, Chongqing Key Lab Pediat,Minist Educ,Key Lab Chil, Chongqing 400014, Peoples R China"

通信作者："Nan, GX (通讯作者)，Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders,Children, Dept Orthopaed 2,China Int Sci & Technol Cooperat, Chongqing Key Lab Pediat,Minist Educ,Key Lab Chil, Chongqing 400014, Peoples R China."

来源：INDIAN JOURNAL OF ORTHOPAEDICS

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000817054000002

JCR分区：Q4

影响因子：1

年份：2022

卷号：56

期号：9

开始页：1625

结束页：1633

文献类型：Article

关键词：Pelvic osteotomy; Developmental dysplasia of the hip (DDH); Pemberton; Pediatric

摘要："Introduction Pemberton osteotomy is a widely used operation in developmental dysplasia of the hip (DDH). The traditional pelvic osteotomy was through outside of the ilium. However, in this study, we performed the pelvic osteotomy through the inner ilium approach. Patients and Methods We retrospectively analyzed 79 patients diagnosed with DDH with open surgery in our hospital from March 2016 to May 2018. There were 39 patients who underwent outside ilium Pemberton osteotomy (PO) and 40 patients who underwent inner ""L shaped"" ilium Pemberton osteotomy (ILSO). Acetabular index (AI), center-edge angle of Wiberg (CE angle), Severin grading scoring system, postoperative avascular necrosis (AVN) by Kalamchi and McEwen classification, and McKay grading scoring system were used for evaluation. Results There was no significant difference between the PO group and ILSO group on AI (p = 0.476), CE angles (p = 0.225), avascular necrosis (Kalamchi and McEwen, p = 0.854), and hip function (McKay's, p = 0.444) on the final follow-up. There were significant differences in X-ray radiation (p < 0.001), blood loss (p = 0.011) and surgery time (p < 0.001). Conclusion Inner side ilium is a viable approach for Pemberton osteotomy of DDH in children with less X-ray radiation, and less blood loss and shorter surgery time."

基金机构：Chongqing Science and Technology Commission [35-2019ZDXM015]; Health Commission [35-2019ZDXM015]

基金资助正文：Chongqing Science and Technology Commission and Health Commission joint project (No. 35-2019ZDXM015).