Results of Tonnis-type acetabuloplasty in patients with developmental hip dysplasia

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dc.contributor.authorGunel, Ugur
dc.contributor.authorDaglar, Bulent
dc.contributor.authorTasbas, Bulent A.
dc.contributor.authorDelialioglu, Onder
dc.contributor.authorBayrakci, Kenan
dc.date.accessioned2020-06-25T17:52:30Z
dc.date.available2020-06-25T17:52:30Z
dc.date.issued2012
dc.departmentKırıkkale Üniversitesi
dc.description.abstractThe aim of this prospective study was to evaluate the outcome of open reduction and Tonnis acetabuloplasty as the first method of treating developmental dysplasia of the hip (DDH) in children in early childhood at walking age. Between 2005 and 2009, 34 hips of 34 children were operated on with the aforementioned method. Mean age was 25.6 (range 12-44) months, and mean follow-up was 3.6 years. During the follow-up period ,the hips were evaluated using the acetabular index and for development of avascular necrosis and redislocation. Functional evaluation was also conducted. Clinically, 97.3 % of patients had excellent and good results. The acetabular angle decreased from 45A degrees preoperatively to 21A degrees early postoperatively and at the last follow-up had improved to 18A degrees. In two hips, type 2 avascular necrosis developed. Hip instability was not observed, and no additional surgery was performed. Tonnis acetabuloplasty is a powerful tool to increase primary stability of the hip when acetabular coverage is inadequate in DDH. Besides its acute correction ability, when performed properly, it has no unwanted effects on acetabular growth. As an isolated procedure or as a part of combined open reduction and/or femoral osteotomy, Tonnis type acetabuloplasty is a safe and effective method.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1007/s00776-012-0287-8
dc.identifier.endpage709en_US
dc.identifier.issn0949-2658
dc.identifier.issn1436-2023
dc.identifier.issue6en_US
dc.identifier.pmid22936208
dc.identifier.scopus2-s2.0-84878992474
dc.identifier.scopusqualityQ2
dc.identifier.startpage705en_US
dc.identifier.urihttps://doi.org/10.1007/s00776-012-0287-8
dc.identifier.urihttps://hdl.handle.net/20.500.12587/5166
dc.identifier.volume17en_US
dc.identifier.wosWOS:000312073100007
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Bven_US
dc.relation.ispartofJournal Of Orthopaedic Science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleResults of Tonnis-type acetabuloplasty in patients with developmental hip dysplasiaen_US
dc.typeArticle

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