Femoral segment graft is a suitable alternative to stabilize pelvic osteotomies in developmental dysplasia of the hip

Abstract

The aim of this study was to compare bone healing in pelvic osteotomy patients with osteotomy gaps filled with a femoral segment resected (FSR) graft with bone healing in patients with an iliac tricortical autograft (ITA) in treatment of developmental dysplasia of the hip. Sixty-three hips were treated using FSR grafts. Sixty-one hips were treated using ITA. The mean operation time and blood loss were significantly reduced in the FSR graft group, but graft union time was extended in the FSR graft group compared with that in the ITA group. The FSR graft was found to be safe and effective in treatment of developmental dysplasia of the hip and serves as an advantageous alternative to ITA.

Acetabular remodeling after graft extrusion, rotation or impaction in Dega and Pemberton acetabuloplasties for developmental dysplasia of the hip

“…of the grafts. These observations are in agreement with the findings previously reported by Bulut et al [19] and Ertürk et al [20]. Although femoral autografts have been shown to have better structural integrity compared to iliac autografts [20], the use of femoral autograft is however limited by its availability.…”

“…[19] and Ertürk et al . [20]. Although femoral autografts have been shown to have better structural integrity compared to iliac autografts [20], the use of femoral autograft is however limited by its availability.…”

“…[20]. Although femoral autografts have been shown to have better structural integrity compared to iliac autografts [20], the use of femoral autograft is however limited by its availability. In order to solve these issues, allografts and synthetic grafts have been used but the associated risks such as infection, nonunion and immunologic rejection impose serious limitations on using such grafts [21–23].…”

Treatment in Developmental Dysplasia of the Hip

“…Yazarların yaptığı bir çalışmada tek aşamalı pelvik osteotomi ile 3 yaşından küçük ve büyük çocuklara yapılan femoral kısaltma osteotomi sonuçlarının klinik ve radyolojik olarak birbirine benzer sonuçlar verdiğini ve 18 aylığa kadar kısaltma osteotomisinin güvenle yapılabileceğini göstermişlerdir (14) . (28) .…”

Etiology and Diagnosis in Developmental Dysplasia of the Hip (I)

“…Proksimal femurda meydana gelen değişiklikler pelvifemoral kasların kısalmasına ve kontraksiyonuna neden olur. Bütün bu sayılan eklem içi ve eklem dışı ikincil yumuşak doku değişiklikleri femur başının yeniden asetabulum içine redüksiyonuna engel olurlar (5,14,16) .…”