scholarly journals Acetabular Development Following Salter’s Innominate Osteotomy for the Treatment of Developmental Dysplasia of the Hip: Long Term Follow-Up

2016 ◽  
Vol 06 (04) ◽  
pp. 78-85
Author(s):  
Yalçin Turhan ◽  
Bülent Kiliç ◽  
Murat Demiroğlu ◽  
Esat Uygur ◽  
Korhan Özkan ◽  
...  
Keyword(s):  
Developmental Dysplasia ◽  
Innominate Osteotomy ◽  
Long Term Follow Up ◽  
Dysplasia Of The Hip

Mid- and long-term outcome of Salter’s, Pemberton’s and Dega’s osteotomy for treatment of developmental dysplasia of the hip: a systematic review and meta-analysis

2020 ◽  
pp. 112070002094286
Author(s):  
Sophie R Merckaert ◽  
Pierre-Yves Zambelli ◽  
Shannon N Edd ◽  
Starnoni Daniele ◽  
Jolles Brigitte
Keyword(s):  
Systematic Review ◽  
Initial Treatment ◽  
Meta Analysis ◽  
Developmental Dysplasia ◽  
Unfavourable Outcome ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Dysplasia Of The Hip

Introduction: Early diagnosis and early treatment have become the gold standard for management of developmental dysplasia of the hip. Surgery is required in case of failed initial treatment. Innominate pelvic osteotomy of Salter (SIO), Pemberton’s pericapsular osteotomy (PPO) and Dega’s acetabuloplasty (DA) are among the most used procedures. We performed a systematic review and meta-analysis of the past 57 years in order to assess the mid- and long-term outcome of these techniques. Methods: Studies met inclusion criteria if they: (1) reported at least 5 cases treated by 1 of the abovementioned surgical techniques; (2) included children aged between 1 and 8 years; (3) surgical indication was late detected DDH or a failed initial treatment; (4) presented a minimal follow-up of 24 months; (5) reported the radiological score of Severin and/or the clinical score of McKay. Clinical and radiological outcomes were dichotomised into favourable and unfavourable outcome and weighted summary rates were determined using meta-analysis models. Results: From a total of 7391 articles, 48 level of evidence grade IV articles were included in our review. A total of 2143 cases with a mean follow up of 112.4 months were included. Pooled Severin score indicated a statistically better outcome for PPO and DA compared to SIO ( p = 0.0003 and p = 0.002, respectively). By dichotomising the results in favourable and unfavourable outcome, PPO showed the best results ( p = 0.0002 vs. SIO, p = 0.01 vs. DA). Pooled McKay score showed a statistically better outcome for PPO and DA compared to SIO ( p < 0.0001 and p = 0.03, respectively) as well as better outcomes for PPO compared to DA ( p = 0.01). By dichotomising the results in favourable and unfavourable, PPO showed the best results. Conclusions: Even if our review demonstrates slightly better radiological and clinical results with the PPO, the currently available and limited data do not allow for clear recommendation towards one of these techniques.

Biomechanical evaluation of hip joint after Salter innominate osteotomy: a long-term follow-up study

2001 ◽  
Vol 121 (9) ◽  
pp. 511-516 ◽  
Author(s):  
R. Vengust ◽  
M. Daniel ◽  
V. Antolič ◽  
O. Zupanc ◽  
A. Iglič ◽  
...  
Keyword(s):  
Hip Joint ◽  
Follow Up Study ◽  
Innominate Osteotomy ◽  
Long Term Follow Up ◽  
Biomechanical Evaluation

Therapy and prevention for mental health: What if mental diseases are mostly not brain disorders?

2019 ◽  
Vol 42 ◽  
Author(s):  
John P. A. Ioannidis
Keyword(s):  
Mental Health ◽  
Mental Disease ◽  
Brain Disorders ◽  
Social Stressors ◽  
Labor Education ◽  
Mental Diseases ◽  
Long Term Follow Up ◽  
Political Decisions

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.

A comparison of two approaches to biofeedback treatment in children with recalcitrant constipation/encopresis. Long term follow up

2001 ◽  
Vol 120 (5) ◽  
pp. A397-A397
Author(s):  
M SAMERAMMAR ◽  
J CROFFIE ◽  
M PFEFFERKORN ◽  
S GUPTA ◽  
M CORKINS ◽  
...  
Keyword(s):  
Long Term Follow Up ◽  
Biofeedback Treatment
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