METHODS: We reviewed all records and radiographs of patients who underwent this procedure between 2005 and 2020. We included 26 patients, with clinical and radiographic assessments performed during pre- and post-operative evaluations.
RESULTS: There were twenty-six patients (15 right vs. 11 left), with a mean age of 7 years (1-18). Most of the patients were female (17 patients; 65.4%). Twenty (76.9%) patients were undergoing their first procedure and six (23.1%) had already undergone a previous surgery. There was a significant improvement in all radiographic parameters, with the mean preoperative and postoperative Neck-Shaft Angle (NSA) being 72.3 ± 7.1° vs. 133.1 ± 12.7°, the Center-Edge Angle (CEA) 16.8 ± 9.8° vs. 33.5 ± 14.1°, and the Acetabular Index (AI) 27.8 ± 6.9° vs. 16.4 ± 6.8°, respectively. The complication rate was 15.4%, predominantly affecting patients under 5 years old.
CONCLUSIONS: The SUPERhip procedure is an effective and reproducible technique for clinical and radiographic correction to a significant degree in patients with Paley\'s type 1b CFD, in preparation for bone lengthening surgery.
方法:我们回顾了2005年至2020年间接受该手术的患者的所有记录和X光片。我们纳入了26名患者,在术前和术后评估期间进行临床和影像学评估。
结果:有26例患者(右15例与右11左),平均年龄7岁(1-18岁)。大多数患者为女性(17例;65.4%)。20例(76.9%)患者正在接受首次手术,6例(23.1%)已经接受了先前的手术。所有射线照相参数都有显著改善,术前和术后平均颈轴角(NSA)为72.3±7.1°vs.133.1±12.7°,中心边缘角度(CEA)16.8±9.8°与33.5±14.1°,和髋臼指数(AI)27.8±6.9°与16.4±6.8°,分别。并发症发生率为15.4%,主要影响5岁以下的患者。
结论:SUPERhip手术是一种有效且可重复的技术,可在Paley's1b型CFD患者中进行临床和影像学矫正,为骨延长手术做准备。