The correction of leg-length developmental dysplasia of discrepancy after treatment in the hip by using a percutaneous epiphysiodesis

被引:10
|
作者
Inan, Muharrem [1 ,2 ]
Chan, Gilbert [1 ]
Bowen, James Richard [1 ]
机构
[1] Alfred I Dupont Hosp Children, Dept Orthoped, Wilmington, DE 19899 USA
[2] Yeditepe Univ, Dept Orthopaed, Istanbul, Turkey
来源
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2008年 / 17卷 / 01期
关键词
avascular necrosis; developmental dysplasia of the hip; leg-length discrepancy; percutaneous epiphysiodesis;
D O I
10.1097/BPB.0b013e3282e61af7
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The aims of this study were to determine factors that cause a leg-length discrepancy (LLD) to the extent that correction is indicated after treatment in developmental dysplasia of the hip and determine whether the LLD may be treated with a percutaneous epiphysiodesis. Twelve children were included in this study. The factors which caused LLD were avascular necrosis, femoral shortening and varus at reduction, and septic arthritis. Percutaneous epiphysiodesis of the contralateral limb reduced the mean predicted LLD from 3.8 to 1.2 cm at maturity. We concluded that LLD (> 2.5 cm) might result from complications of developmental dysplasia of the hip and these patients can be treated with a percutaneous epiphysiodesis.
引用
收藏
页码:43 / 46
页数:4
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