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ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2014, Number 1

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Rev Mex Ortop Ped 2014; 16 (1)

Using the bent double miniplate and the Michel-Salmon type acetabuloplasty as an alternative in the surgical treatment of patients over 4 years with developmental hip dysplasia

Olalde HM, Milán NJ, Díaz MI, Corona GI, Aguado AM

Language: Spanish
References: 25
Page: 29-34
PDF size: 523.04 Kb.


ABSTRACT

Introduction: The dysplasia of development of the hip is a prevalent patology in our environment, wich has undergone changes that are variable in respect of the treatment depending on the age of the patients. There is no background in the literature about surgical therapy in dysplasia of development of the hip, through the technique realized in our study. Objective: To determine the perspective and the results of a new modality of surgical treatment through the colocation of double layered miniplate in dysplasia of development of the hip in patients older than 4 years that have been managed with various ways of treatment. Material and Methods: A prospective, longitudinal and descriptive study was realized at the Children’s Hospital of Morelia «Eva Sámano de López Mateos» from April 2006 to July 2013, in which a total of 13 patients with dysplasia of development of the hip were treated through colocation of four hole double layered miniplate with 3.5 mm cortical screws. All of them older than 4 years of age and with several grades of coxofemoral affection, following Severin criteria modified by Ponseti. Results: To date the progress of 9 patients (69.23%) has been satisfactory with a neck-shaft angle of 130 to 140o, and the remaining 4 patients (30.76%) evolution has been irregular because the neck-shaft angle decreased to less than 100o. The Wiberg CE angle coverage was 10 to 20o in the hips with satisfactory results and in the hips with erratic results increased significantly both angles (140o and more than 20o respectively). The results were assessed by means of Severin criteria modified by Ponseti, of wich 9 patients are in the group II (69.23%), 2 in the group III (15.38%) and 2 in the group IV without obtaining excellence in the results according to this classification. Conclusions: The dysplasia of development of the hip is a very common condition that currently is considered a public health problem and we believe that for great and good results we should manage patients with this nosological entity from the moment of the birth until the first year of life, and avoid treatments as complex as the one presented in this work. It is important to note that the present study has a following to the present moment.


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