Salter osteotomy in Perthes’ disease. Late radiological results
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2004, Vol 6, Issue 6
Abstract
Background. Surgical treatment in Perthes’ disease has been used for many years, but the choice of operation method still remains controversial. The aim of this work is to analyze long-term radiological results at patients after Perthes’ disease treated by Salter osteotomy. Material and methods. 113 hips were analyzed at 110 patients. Males were 90, females 20. Due to severity of changes in hips, patients were divided into groups according to Catterall: group II – 25 hips (22.1%), group III – 14 hips (12.4%), group IV – 74 hips (65.5%). Average patient's age at the time of surgery was 7.2 years. Follow-up time was 9 years (5-14years). Salter osteotomy was performed as described by its author. The material was analyzed according to age of disease onset, extensiveness of necrosis (Catterall classification), and the length of follow-up period. Radiographs taken before surgery and during last examination were evaluated. For results estimation, Mose criteria and Stulberg classification were applied. Results. According to Mose criteria, 63 hips (55.3%) had good result, 25 (21.9%) – fair and 25 hips (21.9%) – bad result. Using Stulberg classification, group I included 55 hips (49.4%), group II – 33 hips (29.1%), group III – 14 hips (12.3%), group IV – 8 hips (7.8%), group V – 2 hips (1.5%). Radiological parameters of head coverage improved after surgery. Arthrotic changes were noted in 8 hips (7.8%). Conclusion. Salter osteotomy assures good head coverage by the acetabulum and creates favorable conditions for spherical head reconstruction. Results after Salter osteotomy are permanent and do not depend on the length of follow-up period.
Authors and Affiliations
Barbara Jasiewicz, Maja Zarzycka, Daniel Zarzycki, Mariusz Kaliciński, Maciej Tęsiorowski, Walery Sienkiel, Wojciech Kącki
Keywords
Related Articles
- EP ID EP56318
- DOI -
- Views 108
- Downloads 0
Wyniki leczenia operacyjnego złamań miednicy u dzieci w materiale własnym
Wstęp: Leczenie niestabilnych złamań miednicy u dzieci stanowi poważny problem terapeutyczny. Pomimo istniejących podobieństw pomiędzy epidemiologią, diagnostyką i leczeniem złamań miednicy dzieci i dorosłych starano się...
Radionegatywny chrzęstniakomięsak o niskim stopniu złośliwości 1/3 dalszej kości udowej. Studium przypadku
Praca opisuje przypadek 43-letniej pacjentki z radionegatywnym guzem w 1/3 dalszej kości udowej prawej. Przeprowadzona diagnostyka MR z powodu urazu skrętnego kolana uwidoczniła guz w 1/3 dalszej kości udowej. Po wykonan...
Operative treatment of pediatric pelvic fractures - our experience
Introduction: Treatment of unstable pelvic fractures in children is a serious surgical problem. Despite similarities between the epidemiology, diagnosis and treatment of pelvic fractures in children and adults, this arti...
Thromboprophylaxis in Patients with Multiple Organ Injuries – is There an Alternative to low-molecularweight heparins (LMWH)?
The number of body injuries keeps growing and that is mostly due to increasing number of car accidents. How to prevent thrombosis in such cases is still under discussion with the biggest issue being the proper timing. Mo...
Opóźnione rozpoznanie pierwotnej nadczynności przytarczyc u pacjenta z osteoclastoma.
Pierwotna nadczynność przytarczyc (PNP) jest obecnie rozpoznawana najczęściej przypadkowo, w okresie bezobjawowym, podczas wykonywania badań przesiewowych lub diagnostyki z powodu niskiej masy kostnej. Klasyczne objawy...