The proximal femoral growth plate in Perthes disease

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dc.authorwosidDomzalski, Marcin E/M-3523-2016
dc.contributor.authorDomzalski, Marcin E.
dc.contributor.authorInan, Muharrem
dc.contributor.authorGuille, James T.
dc.contributor.authorGlutting, Joseph
dc.contributor.authorKumar, S. Jay
dc.date.accessioned2024-08-04T21:02:09Z
dc.date.available2024-08-04T21:02:09Z
dc.date.issued2007
dc.departmentİnönü Üniversitesien_US
dc.description.abstractWe hypothesized the extent of involvement of the proximal femoral growth plate in Perthes disease determined the final radiographic outcome after containment by shelf acetabuloplasty. We retrospectively evaluated the extent of growth plate involvement using a modified version of the method described by Yasuda and Tamura. In our modification, we used only the epiphyseal border for measurements, which was clearly visible as a thin white line, unlike Yasuda and Tamura who used the metaphyseal and epiphyseal borders. We could not clearly demarcate the metaphyseal border in the radiographs of our patient population between 1944 and 1998, which consisted of 69 patients who had surgery at a mean age of 9 years (range, 6.0-14.1 years). From these measurements, we formulated an index termed growth plate involvement. Radiographic results were classified as described by Stulberg et al A growth plate involvement index less than 0.25 resulted in a good radiographic outcome. We found 93.2% sensitivity and 100% specificity in predicting Stulberg's outcomes. The growth plate involvement index is a reliable and reproducible measurement method and may be used prospectively as a useful prognostic factor to predict radiographic outcomes after containment acetabuloplasty. Level of Evidence: Level 11, prognostic study (retrospective study). See the Guidelines for Authors for a complete description of levels of evidence.en_US
dc.identifier.doi10.1097/BLO.0b013e3180380ef2
dc.identifier.endpage158en_US
dc.identifier.issn0009-921X
dc.identifier.issn1528-1132
dc.identifier.issue458en_US
dc.identifier.pmid17327810en_US
dc.identifier.startpage150en_US
dc.identifier.urihttps://doi.org/10.1097/BLO.0b013e3180380ef2
dc.identifier.urihttps://hdl.handle.net/11616/104515
dc.identifier.wosWOS:000246259200031en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofClinical Orthopaedics and Related Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLateral Shelf Acetabuloplastyen_US
dc.subjectPart Ien_US
dc.subjectClassificationen_US
dc.subjectHeaden_US
dc.subjectInvolvementen_US
dc.subjectContainmenten_US
dc.subjectOperationen_US
dc.subjectChildrenen_US
dc.subjectPillaren_US
dc.subjectLcpden_US
dc.titleThe proximal femoral growth plate in Perthes diseaseen_US
dc.typeArticleen_US

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