Please use this identifier to cite or link to this item:
https://hdl.handle.net/11499/8800
Title: | Results of Tönnis-type acetabuloplasty in patients with developmental hip dysplasia | Authors: | Günel, Uğur Daglar, B. Tasbas, B.A. Delialioglu, O. Bayrakci, K. |
Keywords: | acetabular index acetabuloplasty article avascular necrosis child clinical article developmental hip dysplasia female follow up functional assessment hip dislocation hip dysplasia human joint stability male musculoskeletal system parameters open reduction outcome assessment postoperative period preoperative period preschool child prospective study surgical technique Tonnis acetabuloplasty acetabulum age arthropathy arthroplasty bone dysplasia femur hip infant joint characteristics and functions methodology osteotomy treatment outcome Acetabulum Age Factors Arthroplasty Bone Diseases, Developmental Child, Preschool Female Femur Follow-Up Studies Hip Joint Humans Infant Joint Deformities, Acquired Male Osteotomy Prospective Studies Range of Motion, Articular Treatment Outcome |
Publisher: | Springer Tokyo | Abstract: | Aim: The aim of this prospective study was to evaluate the outcome of open reduction and Tönnis acetabuloplasty as the first method of treating developmental dysplasia of the hip (DDH) in children in early childhood at walking age. Materials and methods: Between 2005 and 2009, 34 hips of 34 children were operated on with the aforementioned method. Mean age was 25.6 (range 12-44) months, and mean follow-up was 3.6 years. During the follow-up period,the hips were evaluated using the acetabular index and for development of avascular necrosis and redislocation. Functional evaluation was also conducted. Results: Clinically, 97.3 % of patients had excellent and good results. The acetabular angle decreased from 45 preoperatively to 21 early postoperatively and at the last follow-up had improved to 18. In two hips, type 2 avascular necrosis developed. Hip instability was not observed, and no additional surgery was performed. Conclusion: Tönnis acetabuloplasty is a powerful tool to increase primary stability of the hip when acetabular coverage is inadequate in DDH. Besides its acute correction ability, when performed properly, it has no unwanted effects on acetabular growth. As an isolated procedure or as a part of combined open reduction and/or femoral osteotomy, Tönnis type acetabuloplasty is a safe and effective method. © 2012 The Japanese Orthopaedic Association. | URI: | https://hdl.handle.net/11499/8800 https://doi.org/10.1007/s00776-012-0287-8 |
ISSN: | 0949-2658 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
Show full item record
CORE Recommender
SCOPUSTM
Citations
12
checked on Oct 13, 2024
WEB OF SCIENCETM
Citations
11
checked on Dec 18, 2024
Page view(s)
22
checked on Aug 24, 2024
Google ScholarTM
Check
Altmetric
Items in GCRIS Repository are protected by copyright, with all rights reserved, unless otherwise indicated.