Strategies in Trauma and Limb Reconstruction

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VOLUME 6 , ISSUE 1 ( April, 2011 ) > List of Articles

Original Article

Pelvic support osteotomy by Ilizarov\'s concept: Is it a valuable option in managing neglected hip problems in adolescents and young adults?

Mahmoud A. Mahran, Mohamed A. ElGebeily, Nabil A. M. Ghaly, Mootaz F. Thakeb, Hany M. Hefny

Keywords : Pelvic support osteotomy, Hip osteotomy, Femoral reconstruction osteotomy, Neglected hip dislocation, Pelvic support femoral reconstruction, Neglected hip problems in pediatric age group, Ilizarov hip reconstruction

Citation Information : Mahran MA, ElGebeily MA, Ghaly NA, Thakeb MF, Hefny HM. Pelvic support osteotomy by Ilizarov\'s concept: Is it a valuable option in managing neglected hip problems in adolescents and young adults?. 2011; 6 (1):13-20.

DOI: 10.1007/s11751-011-0104-5

License: CC BY-NC-SA 4.0

Published Online: 30-04-2011

Copyright Statement:  Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

For evaluating pelvic support osteotomy as a salvage procedure in managing neglected hip problems in adolescents and young adults, PSO was performed for 20 hips in 20 patients (5 men and 15 women). The mean age was 21.5 years. The etiology was neglected developmental dysplasia of the hip in 9 patients, post-septic hip sequelae in 9 patients, and paralytic dislocation due to poliomyelitis in 2 patients. All patients were treated by two osteotomies: a proximal femoral osteotomy to support the pelvis and correct the flexion and rotational deformities of the hip and a distal varization and lengthening osteotomy. Final clinical evaluation was done 6 months after frame removal. The mean external fixation time was 6.4. Lengthening and mechanical axis parallelism was achieved in all patients. At the final follow-up and according to a predesigned scoring system, there were 7(35%) excellent results, 6(30%) good results, 7(35%) fair results, and no poor results. Hip reconstruction by Ilizarov\'s concept can be technically demanding and involving lengthy period wearing the frame but found to be a valuable salvage procedure for numerous neglected hip problems particularly in young patients.


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