Background: The Innominate osteotomy as an integral
component of combined open reduction for the treatment of dysplasia developed
of the hip in children. Materials and Methods: Between 2011 and 2015, 198 hips
of 176 patients with developmental dislocation of the hip underwent 0 operation. The patients were divided into two
Variant based on the age at the time of open reduction: 12 months- less than
18 months (Variant 1) and upper 18-36
months (Variant 2). There were 120 hips in V 1 and 69 hips in V 2. Preoperative
Patients didn’t use skin or skeletal traction, or femoral osteotomies. All
patients were Open reduction and
iliac osteotomy according to Zigzag morphology combined Fibular Allograft.
Dislocations were graded according to Tonnis
system. The acetabular index was measured common procedure: Clinical evaluation of modified McKay criteria, and
Roentgenographic evaluation of Severin. Results:
There were 134 (76.1%) of the patients were girls and 42 (23.9%) were boys.
Twenty two (12.5%) patients were affected bilaterally. The right hip was
involved in 31 (17.6%), and the left hip in 123 cases (69.9%). Tonnis grade: Tonnis 3 in 46 (23.3%), Tonnis. 4 in
152 (76.7%). The patient was performed at a mean age of 21.5 months (12 to 36)
and the mean age at latest follow-up was 72.1 months (58 to 115), and the mean
time follow-up was 41 months (32 to 53 months).Overall
favorable result 188 hips (94.9%) and unfavorable result 10 hips (5.1%). Roentgenogrphic results were Excellent 79.8%, Good
15.2%, Fair 3.5%, Poor 1.5%. There were Redislocation 14 (7.1%) and Avascular necrosis 47 (23.7%). Conclusion: This operation was of good safety and efficacy. Fibular
allograft was strength and graft was not resorption, more stable and structurally
sound interposition material which could be contoured to the shape of the
osteotomy site. The Zizag octeotomy acetabuloplasty the same shape of the acetabulum by
hinging the horizontal branch of the triradiate cartilage following an
incomplete osteotomy. At
latest results, both Variant were none different.
Cite this paper
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