Effects of different pelvic osteotomy surgeries on acetabular center and pelvic morphology
Abstract Objective To compare the effects of Salter pelvic osteotomy, Pemberton pelvic osteotomy, and triple pelvic osteotomy on the center of acetabulum and pelvic morphology in children with hip joint disease. Methods The data of children treated with Salter pelvic osteotomy (2 males and 14 female...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-04062-3 |
| _version_ | 1797557781166817280 |
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| author | Can Liu Kongjian Wang Zhongwen Tang Jie Wen Sheng Xiao |
| author_facet | Can Liu Kongjian Wang Zhongwen Tang Jie Wen Sheng Xiao |
| author_sort | Can Liu |
| collection | DOAJ |
| description | Abstract Objective To compare the effects of Salter pelvic osteotomy, Pemberton pelvic osteotomy, and triple pelvic osteotomy on the center of acetabulum and pelvic morphology in children with hip joint disease. Methods The data of children treated with Salter pelvic osteotomy (2 males and 14 females with an average age of 2.49 years), Pemberton pelvic osteotomy (4 males and 11 females with an average age of 6.11 years), and triple pelvic osteotomy(4 males and 8 females with an average age of 9.59 years) between January 2011 and December 2020 were collected. After discharge, the outpatient review was followed up for at least 1 year. All patients underwent anterior–posterior pelvic X-ray scanning before surgery, three months after surgery in the first year and every six months after the first year. The following X-ray features were analyzed: bilateral pelvic height (PH), iliac crest inclination (ICI), a horizontal distance of the acetabulum center (HD), and vertical distance of the acetabulum center (VD). Results The mean follow-up time was 16.9 ± 4.9 months in the Salter group, 20.7 ± 5.1 months in the Pemberton group, and 18.0 ± 5.4 months in the triple group (all P > 0.05). No significant differences between PH, HD, and VD of both sides on the preoperative AP pelvic x-ray were found. However, at the last follow-up, PH, HD,VD, and ICI increased in the Salter group (all P < 0.05), PH and VD increased in the Pemberton group (all P < 0.05), and VD decreased in the Triple group (P < 0.05). Conclusion Salter pelvic osteotomy may cause pelvic height to increase and the center of acetabulum to move outward and downward. In contrast, Pemberton pelvic osteotomy may cause pelvic height to increase and the center of acetabulum to move downward. Triple pelvic osteotomy only causes the center of acetabulum to move downward. |
| first_indexed | 2024-03-10T17:21:02Z |
| format | Article |
| id | doaj.art-1024789fc72a4f1d99fa4101ea64ee9a |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-10T17:21:02Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-1024789fc72a4f1d99fa4101ea64ee9a2023-11-20T10:19:55ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-08-011811810.1186/s13018-023-04062-3Effects of different pelvic osteotomy surgeries on acetabular center and pelvic morphologyCan Liu0Kongjian Wang1Zhongwen Tang2Jie Wen3Sheng Xiao4Department of Anatomy, Hunan Normal University School of MedicineDepartment of Pediatric Orthopedics, Changde First Hospital of Traditional Chinese MedicineDepartment of Pediatric Orthopedics, Hunan Provincial People’s Hospital, The First Affiliated Hospital of Hunan Normal UniversityDepartment of Anatomy, Hunan Normal University School of MedicineDepartment of Pediatric Orthopedics, Hunan Provincial People’s Hospital, The First Affiliated Hospital of Hunan Normal UniversityAbstract Objective To compare the effects of Salter pelvic osteotomy, Pemberton pelvic osteotomy, and triple pelvic osteotomy on the center of acetabulum and pelvic morphology in children with hip joint disease. Methods The data of children treated with Salter pelvic osteotomy (2 males and 14 females with an average age of 2.49 years), Pemberton pelvic osteotomy (4 males and 11 females with an average age of 6.11 years), and triple pelvic osteotomy(4 males and 8 females with an average age of 9.59 years) between January 2011 and December 2020 were collected. After discharge, the outpatient review was followed up for at least 1 year. All patients underwent anterior–posterior pelvic X-ray scanning before surgery, three months after surgery in the first year and every six months after the first year. The following X-ray features were analyzed: bilateral pelvic height (PH), iliac crest inclination (ICI), a horizontal distance of the acetabulum center (HD), and vertical distance of the acetabulum center (VD). Results The mean follow-up time was 16.9 ± 4.9 months in the Salter group, 20.7 ± 5.1 months in the Pemberton group, and 18.0 ± 5.4 months in the triple group (all P > 0.05). No significant differences between PH, HD, and VD of both sides on the preoperative AP pelvic x-ray were found. However, at the last follow-up, PH, HD,VD, and ICI increased in the Salter group (all P < 0.05), PH and VD increased in the Pemberton group (all P < 0.05), and VD decreased in the Triple group (P < 0.05). Conclusion Salter pelvic osteotomy may cause pelvic height to increase and the center of acetabulum to move outward and downward. In contrast, Pemberton pelvic osteotomy may cause pelvic height to increase and the center of acetabulum to move downward. Triple pelvic osteotomy only causes the center of acetabulum to move downward.https://doi.org/10.1186/s13018-023-04062-3Salter pelvic osteotomyPemberton pelvic osteotomyTriple pelvic osteotomyChildren's hip joint diseaseCenter of acetabulumPelvic morphology |
| spellingShingle | Can Liu Kongjian Wang Zhongwen Tang Jie Wen Sheng Xiao Effects of different pelvic osteotomy surgeries on acetabular center and pelvic morphology Journal of Orthopaedic Surgery and Research Salter pelvic osteotomy Pemberton pelvic osteotomy Triple pelvic osteotomy Children's hip joint disease Center of acetabulum Pelvic morphology |
| title | Effects of different pelvic osteotomy surgeries on acetabular center and pelvic morphology |
| title_full | Effects of different pelvic osteotomy surgeries on acetabular center and pelvic morphology |
| title_fullStr | Effects of different pelvic osteotomy surgeries on acetabular center and pelvic morphology |
| title_full_unstemmed | Effects of different pelvic osteotomy surgeries on acetabular center and pelvic morphology |
| title_short | Effects of different pelvic osteotomy surgeries on acetabular center and pelvic morphology |
| title_sort | effects of different pelvic osteotomy surgeries on acetabular center and pelvic morphology |
| topic | Salter pelvic osteotomy Pemberton pelvic osteotomy Triple pelvic osteotomy Children's hip joint disease Center of acetabulum Pelvic morphology |
| url | https://doi.org/10.1186/s13018-023-04062-3 |
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