دورية أكاديمية
Tönnis and the Novel IHDI Radiographic Classification Systems for the Developmental Dysplasia of The Hip (DDH): Evaluation of 406 hips with DDH.
| العنوان: | Tönnis and the Novel IHDI Radiographic Classification Systems for the Developmental Dysplasia of The Hip (DDH): Evaluation of 406 hips with DDH. |
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| المؤلفون: | Yilar S, Topal M |
| المصدر: | Acta orthopaedica Belgica [Acta Orthop Belg] 2023 Mar; Vol. 89 (1), pp. 21-27. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Acta Medica Belgica Country of Publication: Belgium NLM ID: 2985165R Publication Model: Print Cited Medium: Internet ISSN: 0001-6462 (Print) Linking ISSN: 00016462 NLM ISO Abbreviation: Acta Orthop Belg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Bruxelles : Acta Medica Belgica Original Publication: Bruxelles. |
| مواضيع طبية MeSH: | Hip Dislocation, Congenital*/diagnostic imaging , Developmental Dysplasia of the Hip*/diagnostic imaging , Developmental Dysplasia of the Hip*/surgery , Developmental Dysplasia of the Hip*/etiology , Orthopedic Procedures*/adverse effects , Osteonecrosis*/surgery, Child ; Humans ; Infant ; Retrospective Studies ; Treatment Outcome |
| مستخلص: | In this study, we aimed to compare the efficiency of Tönnis and the novel International Hip Dysplasia Institute (IHDI) in decision making and in presuming the outcomes in children who had undergone closed reduction and casting. 406 hips of 298 patients who had undergone closed reduction and spica casting were included in this retrospective study. All hips were classified according to Tönnis and IHDI systems. Bucholz-Ogden classification was used for avascular necrosis. The outcomes of patients for each classification system were compared, in terms of the presence of avascular necrosis, redislocations and secondary surgeries at the end of the follow-up period. 318 hips were evaluated as Tönnis grade 2 dysplasia. 24 had avascular necrosis, 9 had redislocations. 79 hips were evaluated as Tönnis grade 3 dysplasia. 18 had AVN, 7 had redislocations. 9 hips were evaluated as Tönnis grade 4 dysplasia 3 had AVN, 4 had redislocations. 203 patients were evaluated as IHDI grade 2 dysplasia. 7 had AVN, 7 had redislocations.185 patients were assessed as IHDI grade 3 dysplasia. 33 had AVN, 11 had redislocations. 18 patients were evaluated as IHDI grade 4 dysplasia. 5 had AVN, 6 had redislocations. Both Tönnis classification and IHDI classification systems are reliable and efficient systems for evaluating the severity and predicting the success of closed reduction and casting for the treatment of DDH. IHDI classification has certain benefits, such as being a practical classification and a better distribution within the groups. |
| تواريخ الأحداث: | Date Created: 20230609 Date Completed: 20230612 Latest Revision: 20230612 |
| رمز التحديث: | 20230612 |
| DOI: | 10.52628/89.1.7647 |
| PMID: | 37294981 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0001-6462 |
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| DOI: | 10.52628/89.1.7647 |