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Öğe Is reassessment of radiographs taken from pediatric patients useful for detecting unrecognised hip dysplasia?(Yuzuncu Yil Universitesi Tip Fakultesi, 2017) Sevimli R.; Ceylan M.F.; Yıldırım E.; Aslan M.; Görmeli G.Developmental Dysplasia of the Hip (DDH) is an entity that may be congenital as well as develop ing during infancy or childhood and include anatomic disorders of the hips. Moreover, DDH is of great importance with the possibility of being diagnosed late and causing disabilities in patients. Despite the fact that there wasn’t any not a patient with complaints of hip dislocation in this study, the unrecognized cases that admitted to the clinics due to other complaints were also presented. Hip and pelvic radiographs taken from 10.000 children who were referred to emergency and pediatric outpatient clinics of our department with other complaints between 2009-2016 were evaluated. Six patients who had high acetabular index according to the measurements calculated from 4.000 radiographs that were appropriate for evaluation and who were thought to have unrecognized were recalled and their hip radiographs were evaluated. Six patients with suspected hip dysplasia detected from 4000 radiographs, which were suitable for the measurement techniques, were called to the control examination. In the physical examinations and radiographs, abnormal radiographic views of a patient with complete dislocation and two patients with dysplastic hip according to t heir first radiographs were completely resolved. When treatment of DDH can be performed with simple instrumentation or limited surgical interventions in the early infancy, complicated surgical interventions are required during age of walking and after this period, which reduce the success rate. Therefore, we think that every child under one year old who has referred to the clinics for other reasons and those with hip or pelvis graphs are required to be examined in terms of DDH. © 2017, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.Öğe The outcomes of open reduction by the medial approach for developmental dysplasia of the hip in the 3-18 months old patients(Yuzuncu Yil Universitesi Tip Fakultesi, 2017) Türközü T.; Güner S.; Ceylan M.F.; Güven N.This study has aimed to evaluate the outcomes of open reduction technique by the medial approach performed in the 3-18 months old infants. The patients who underwent an open reduction by the medial approach for typical dysplasia of hip between the years 2007-2011 were screened retrospectively. The study included 28 hips of 19 patients. The correction percentage of acetabular index was calculated by acetabular angle measurements performed prior to operation and at the last control examination. Avascular necrosis (AVN) was classified by the criteria of Kalamchi-MacEwen while radiological and clinical evaluations were performed using Severin and McKay criteria. The mean age at surgery was 12.1 months (3-18 months) while mean follow-up period duration was found 18.6 months (6-48 months). According to Severin radiological criteria, 9 (32.1%) and 9 (32.1%) hips were evaluated as excellent and good, respectively. Whereas, according to the evaluation based on McKay criteria, 22 (78.6%) and 6 (21.4%) hips were found excellent and good, respectively. Avascular necrosis (AVN) of the femoral head was encountered in 3 (10.7%) of the 28 hips. According to the criteria of Kalamchi-MacEwen Classification; 2 and 1 hips revealed Type I and Type 4 avascular necrosis, respectively. We have encountered according to outcomes data of this study that open reduction technique by the medial approach for treatment of developmental dysplasia of the hip (DDH) presented more successful clinical and radiological outcomes in the 3-12 months old infants compared with its application in the 13-18 months old infants. © 2017, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.Öğe Problems encountered in screening study with ultrasound for early diagnosis of developmental dysplasia of hip in eastern region of Turkey(Yuzuncu Yil Universitesi Tip Fakultesi, 2018) Ceylan M.F.; Güner S.; Gökalp M.A.; Kurdoğlu Z.; Gözen A.; Korkmaz M.F.; Türközü T.The aim of this study is to evaluate results of the screening program of the development al dysplasia of the hip (DDH) examined in newborn period. The problems encountered in the applicability of the early screening program were e valuated. By interviewing with the family of 1680 newborns born in our institution or referred, the information was given about the DDH and its risk factors, obtained results were recorded. The families were told to bring their babies for examination and hip ultrasound at the 3rd or 4th week of birth. In addition, all the parents were called by telephone the day prior to their appointments. Five hundred and thirty-six babies (31.3%) were brought to the first appointment. Forty-two hips (3.9%) of the 30 infants (5.6%) were detected as dislocated (Type 2c, D, 3). The 8 of these 30 patients (26.7%) whom the treatment was started were brought for the second control. Asymmetry of thigh folds was positive in the highest rate as the finding of the examination in the infants brought to the appointment. The rate of swaddling at the first appointment was found to be 74.2%. Surprisingly, less than one third of children were brought to ultrasound examination at first control. Similarly, about 3/4 of the parents continued to use swaddling for their babies. For the success of national DDH screening program, additional precautions must be taken to ensure the participation of the families and re lease of the swaddling. © 2018, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.Öğe Results of open reduction and salter innominate osteotomy for developmental dysplasia of the hip(Yuzuncu Yil Universitesi Tip Fakultesi, 2015) Ünsal S.Ş.; Ceylan M.F.; Güner S.; Gökalp M.A.; Türktaş U.; Doğan A.; Gözen A.We aimed to evaluate the clinical and radiological results of open reduction (OR) and Salter innominate osteotomy (SIO) for patients with developmental dysplasia of the hip (DDH). In this study, the results of 45 instances of OR and SIO treatment on 36 DDH patients between 2004 and 2012 were evaluated retrospectively. 28 (77.77%) of the patients were female and 8 (22:33%) of them were male. The mean age was 28.8 (18-55) and the mean follow-up period was 41.8 months (6-101). A recovery percentage was calculated by measuring the acetabular index on plain radiographs recorded before surgery, immediately after surgery, and final checkup. During patients’ final checkup, the clinical evaluation was performed according to a modified version of McKay’s criteria and the evaluation of the range of the joint motion was carried out according to the Trevor-Johns-Fixen scoring system. The acetabular index values recorded from patients’ hips had an average of 39.9 (35-47) degrees before the operation, but had a mean of 30.5 (20-35) degrees after the operation and an average of 18.5 (10-30) degrees during the final checkup. Clinically, excellent results were obtained in 22 hips (49%), good results were obtained in 17 hips (38%), and satisfactory results were obtained in 4 hips. Two of the patients could not be evaluated since they could not be mobilized due to cerebral palsy. Re-dislocation emerged in 3 hips (6.6%), deep infection emerged in 1 hip (2.2%), and a supracondylar femur fracture emerged for 1 patient (2.2%). OR and Salter’s innominate osteotomy is a highly effective surgical technique in the treatment of DDH cases that have lasted more than 18 months. © 2015, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
