İNCESU, Mustafa Tepecik Eğitim ve Araştırma Hastanesi - Ortopedi ve Travmatoloji Bölümü, Türkiye , BULUT, Mehmet Dicle Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Türkiye , GÜRGER, Murat Harput Devlet Hastanesi - Ortopedi ve Travmatoloji Kliniği, Türkiye , KARAKURT, Lokman Fırat Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Türkiye

Comparison of Iliac and Femoral Autogreft Practices in Salter and Pemberton Pelvic Osteotomies

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Objectives: To evaluate the radiographic results of iliac and femoral autologous graft using in Salter pelvik osteotomy (SPO) and Pemberton pelvik osteotomy (PPO). Materials and Methods: This study consist of 28 hips of 21 patients to that they SPO and PPO were applied for developmental displasia of hip (DDH). Patients were divided into different groups according to the type of graft, type of osteotomy and patient’s age. Early and late neutral pelvic AP radiograms were evaluated. Effects of the graft type, osteotomy type and patient’s age on the graft union time and loss of graft height were evaluated. The findings obtained from groups were evaluated by statistically with Mann-Whitney, Paired Samples T, Student’s T tests. Results: No significant difference was found between SPO and PPO groups according to graft union time and loss of graft height (p 0.05). The age of operation time was no effect on loss of graft height and time of graft union (p 0.05). Although earlier union was found with iliac graft, there was no statistically significant difference between the graft types according to the union time (p 0.05). Height loss was significant in iliac graft (p 0.05), but height loss was not significant in femoral graft (p 0.05). Conclusion: Age of patient and type of osteotomy does not affects on the graft union time and loss of graft height. Especially, in patients with femoral shortening, if the age group is small, we recommend the use of femoral graft for prevent the loss of graft height.

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Developmental displasia of hip , Salter pelvic osteotomy , Otogreft

Fırat Medical Journal

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