Coxa Magna following closed or open reduction for developmental dislocation of the hip. Course or sequelae?
Aim: The aim of this study was to determine the frequency of Coxa Magna (CM) which is seen during the follow-up of unilateral Developmental Dysplasia of Hip (DDH) treated with closed reduction (CR) or open reduction (AR) and to investigate the factors affecting its.. Methods: Patients were divided i...
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| Format: | Article |
| Language: | English |
| Published: |
Alanya Alaaddin Keykubat University
2019-08-01
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| Series: | Acta Medica Alanya |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/en/pub/medalanya/issue/48174/593576?publisher=alku |
| _version_ | 1797917204223623168 |
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| author | Ahmet Aslan |
| author_facet | Ahmet Aslan |
| author_sort | Ahmet Aslan |
| collection | DOAJ |
| description | Aim: The aim of this study was to
determine the frequency of Coxa Magna (CM) which is seen during the follow-up of
unilateral Developmental Dysplasia of Hip (DDH) treated with closed reduction
(CR) or open reduction (AR) and to investigate the factors affecting its.. Methods: Patients were divided into two
groups retrospectively. Group 1: Consisted of closed reduction (CR) and
pelvipedal cast under general anesthesia. Group 2: It consisted of patients who
underwent medial open reduction (OR) and pelvipedal cast. At the last
follow-up, femoral head diameters were measured. The diagnosis of CM was
decided with 15% over-size criteria compared to the healthy side. Avascular
necrosis (AVN) diagnosis was made according to Salter et al. criteria. AVN
classification was made according to Kalamchi -Mc Ewen criteria.Results: There was a significant difference
between the groups in terms of preoperative Tönnis stage and treatment age p =
0,000 and p = 0.003, respectively), but there was no difference in other
parameters (p> 0.05). The incidence of CM was significantly higher in Group 2 (p =
0.017), but there was no difference between the groups in terms of AVN (p =
0.532).
Conclusion: The main results of
this study showed that the incidence of CM was higher in patients who underwent
AR due to DDH. CM may be a non-pathologic condition associated with iliopsoas
tenotomy and / or treatment. However, these CM cases may also be a result of
Type 1 AVN. There is a need for more well-designed studies with more
number of cases on this subject, minimizing the factors that may affect the
results. |
| first_indexed | 2024-04-10T13:09:41Z |
| format | Article |
| id | doaj.art-d30fd68608ad45a0a2af0262c3519457 |
| institution | Directory Open Access Journal |
| issn | 2587-0319 |
| language | English |
| last_indexed | 2024-04-10T13:09:41Z |
| publishDate | 2019-08-01 |
| publisher | Alanya Alaaddin Keykubat University |
| record_format | Article |
| series | Acta Medica Alanya |
| spelling | doaj.art-d30fd68608ad45a0a2af0262c35194572023-02-15T16:12:42ZengAlanya Alaaddin Keykubat UniversityActa Medica Alanya2587-03192019-08-013218418810.30565/medalanya.593576727Coxa Magna following closed or open reduction for developmental dislocation of the hip. Course or sequelae?Ahmet Aslan0AKDENİZ ÜNİVERSİTESİ, ALANYA TIP FAKÜLTESİ, ALANYA TIP PR.Aim: The aim of this study was to determine the frequency of Coxa Magna (CM) which is seen during the follow-up of unilateral Developmental Dysplasia of Hip (DDH) treated with closed reduction (CR) or open reduction (AR) and to investigate the factors affecting its.. Methods: Patients were divided into two groups retrospectively. Group 1: Consisted of closed reduction (CR) and pelvipedal cast under general anesthesia. Group 2: It consisted of patients who underwent medial open reduction (OR) and pelvipedal cast. At the last follow-up, femoral head diameters were measured. The diagnosis of CM was decided with 15% over-size criteria compared to the healthy side. Avascular necrosis (AVN) diagnosis was made according to Salter et al. criteria. AVN classification was made according to Kalamchi -Mc Ewen criteria.Results: There was a significant difference between the groups in terms of preoperative Tönnis stage and treatment age p = 0,000 and p = 0.003, respectively), but there was no difference in other parameters (p> 0.05). The incidence of CM was significantly higher in Group 2 (p = 0.017), but there was no difference between the groups in terms of AVN (p = 0.532). Conclusion: The main results of this study showed that the incidence of CM was higher in patients who underwent AR due to DDH. CM may be a non-pathologic condition associated with iliopsoas tenotomy and / or treatment. However, these CM cases may also be a result of Type 1 AVN. There is a need for more well-designed studies with more number of cases on this subject, minimizing the factors that may affect the results.https://dergipark.org.tr/en/pub/medalanya/issue/48174/593576?publisher=alkugelişimsel kalça çıkığıcoxa magnaaçık redüksiyonkapalı redüksiyonavasküler nekrozdevelopmental dysplasia of hipi̇liopsoas tenotomycoxa magnaavascular necrosis |
| spellingShingle | Ahmet Aslan Coxa Magna following closed or open reduction for developmental dislocation of the hip. Course or sequelae? Acta Medica Alanya gelişimsel kalça çıkığı coxa magna açık redüksiyon kapalı redüksiyon avasküler nekroz developmental dysplasia of hip i̇liopsoas tenotomy coxa magna avascular necrosis |
| title | Coxa Magna following closed or open reduction for developmental dislocation of the hip. Course or sequelae? |
| title_full | Coxa Magna following closed or open reduction for developmental dislocation of the hip. Course or sequelae? |
| title_fullStr | Coxa Magna following closed or open reduction for developmental dislocation of the hip. Course or sequelae? |
| title_full_unstemmed | Coxa Magna following closed or open reduction for developmental dislocation of the hip. Course or sequelae? |
| title_short | Coxa Magna following closed or open reduction for developmental dislocation of the hip. Course or sequelae? |
| title_sort | coxa magna following closed or open reduction for developmental dislocation of the hip course or sequelae |
| topic | gelişimsel kalça çıkığı coxa magna açık redüksiyon kapalı redüksiyon avasküler nekroz developmental dysplasia of hip i̇liopsoas tenotomy coxa magna avascular necrosis |
| url | https://dergipark.org.tr/en/pub/medalanya/issue/48174/593576?publisher=alku |
| work_keys_str_mv | AT ahmetaslan coxamagnafollowingclosedoropenreductionfordevelopmentaldislocationofthehipcourseorsequelae |