Tonnis triple pelvic osteotomy for Legg-Calve-Perthes disease

Purpose The aim of this study is to evaluate the efficacy of Tonnis triple pelvic osteotomy in patients with LCP disease. Methods Between 2007 and 2011, Tonnis triple pelvic osteotomy was performed for 43 patients with LCP, in our institute. During the follow-ups of patients with LCP the indications for the surgery were lateralization of the femoral head, insufficient femoral head coverage and subluxation of the femoral head. The mean age of patients at the time of surgery was 9.4 years. Results Before surgical intervention, according to Waldenstrom classification, three patients were in the necrosis stage (7 %), six patients in the fragmentation stage (13.9 %), 16 patients in the re-ossification stage (37.2 %) and 18 patients in the remodeling stage (41.9 %). According to Herring classification, four patients were in group B (9.3 %), one patient in group B/C (2.3 %) and 38 patients in group C (88.4 %). After the operation, patients were evaluated with Stulberg classification, and good outcome (Stulberg I/II) was achieved in 23 patients (53, 5 %), fair outcome (Stulberg III) in 16 patients (37, 2 %) and poor outcome (Stulberg IV/V) was seen in only four patients (9.3 %). The mean value of CEA was 0.37 degrees pre-operatively and in the last follow-ups the mean value of CEA was 23.7 degrees. Conclusions We recommend triple pelvic osteotomy for patients with LCP when conservative methods are not successful. According to our results we believe that Waldenstrom classification is a better option than Herring classification to determine the prognosis of disease after containment surgery.

Yazar Camurcu, Ismet Yalkin
Yildirim, Timur
Buyuk, Abdul Fettah
Gursu, Sukru Sarper
Bursali, Aysegul
Sahin, Vedat
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3707
Tek Biçim Adres 10.1007/s00264-014-2585-6
Konu Başlıkları Legg-Calve-Perthes disease
Pediatric hip
Surgical containment
Triple pelvic osteotomy
Periacetabular osteotomy
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı INTERNATIONAL ORTHOPAEDICS
Dergi Cilt Bilgisi 39
Dergi Sayısı 3
Sayfalar 485 - 490
Yayın Yılı 2015
Eser Adı
[dc.title]
Tonnis triple pelvic osteotomy for Legg-Calve-Perthes disease
Yazar
[dc.contributor.author]
Camurcu, Ismet Yalkin
Yazar
[dc.contributor.author]
Yildirim, Timur
Yazar
[dc.contributor.author]
Buyuk, Abdul Fettah
Yazar
[dc.contributor.author]
Gursu, Sukru Sarper
Yazar
[dc.contributor.author]
Bursali, Aysegul
Yazar
[dc.contributor.author]
Sahin, Vedat
Yayın Yılı
[dc.date.issued]
2015
Yayıncı
[dc.publisher]
SPRINGER
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Purpose The aim of this study is to evaluate the efficacy of Tonnis triple pelvic osteotomy in patients with LCP disease. Methods Between 2007 and 2011, Tonnis triple pelvic osteotomy was performed for 43 patients with LCP, in our institute. During the follow-ups of patients with LCP the indications for the surgery were lateralization of the femoral head, insufficient femoral head coverage and subluxation of the femoral head. The mean age of patients at the time of surgery was 9.4 years. Results Before surgical intervention, according to Waldenstrom classification, three patients were in the necrosis stage (7 %), six patients in the fragmentation stage (13.9 %), 16 patients in the re-ossification stage (37.2 %) and 18 patients in the remodeling stage (41.9 %). According to Herring classification, four patients were in group B (9.3 %), one patient in group B/C (2.3 %) and 38 patients in group C (88.4 %). After the operation, patients were evaluated with Stulberg classification, and good outcome (Stulberg I/II) was achieved in 23 patients (53, 5 %), fair outcome (Stulberg III) in 16 patients (37, 2 %) and poor outcome (Stulberg IV/V) was seen in only four patients (9.3 %). The mean value of CEA was 0.37 degrees pre-operatively and in the last follow-ups the mean value of CEA was 23.7 degrees. Conclusions We recommend triple pelvic osteotomy for patients with LCP when conservative methods are not successful. According to our results we believe that Waldenstrom classification is a better option than Herring classification to determine the prognosis of disease after containment surgery.
Açıklama
[dc.description]
WOS: 000350369800017
Açıklama
[dc.description]
PubMed: 25417791
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Legg-Calve-Perthes disease
Konu Başlıkları
[dc.subject]
Pediatric hip
Konu Başlıkları
[dc.subject]
Surgical containment
Konu Başlıkları
[dc.subject]
Triple pelvic osteotomy
Konu Başlıkları
[dc.subject]
Periacetabular osteotomy
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0341-2695
ISSN
[dc.identifier.issn]
1432-5195
İlk Sayfa Sayısı
[dc.identifier.startpage]
485
Son Sayfa Sayısı
[dc.identifier.endpage]
490
Dergi Adı
[dc.relation.journal]
INTERNATIONAL ORTHOPAEDICS
Dergi Sayısı
[dc.identifier.issue]
3
Dergi Cilt Bilgisi
[dc.identifier.volume]
39
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1007/s00264-014-2585-6
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3707
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
27
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
04 Şubat 2024 03:16
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Tıklayınız
patients classification surgery femoral outcome osteotomy pelvic triple (Stulberg Waldenstrom degrees Herring According Tonnis follow-ups disease conservative better option determine prognosis achieved containment Stulberg pre-operatively operation recommend Conclusions methods successful results believe evaluated Purpose subluxation
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