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The Archives of Bone and Joint Surgery، جلد ۷، شماره ۴، صفحات ۰-۰
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عنوان انگلیسی Iliac Pedicle Wedge Graft as a New Modification for Iliac Osteotomies in Young Adolescents: A Single-blind Randomized Clinical Trial
چکیده انگلیسی مقاله Background: The purpose of this study was to verify the results of a new modification of iliac osteotomies on older children. Methods and materials: This study was a single-blind randomized clinical trial. Twenty four consecutive hips in 21 juvenile or adolescent patients who were candidate for salter or triple pelvic osteotomy were included. A modification was performed to harvest a wedged bone graft based on a muscle pedicle of Tensor Fascia Lata and inserted at pelvic osteotomy site instead of a traditional graft technique. The hips were randomized into two groups. In group 1, traditional wedge graft was used and in group 2, the new modification was performed instead. The primary outcome of this study was duration of ::union::. The secondary outcomes were Center Edge (C.E.) Angle on pre-operation, immediately post-operation and at the end of follow-up. Results: In this study, the mean duration to complete ::union:: had statistically significant difference between the two groups (P = 0.03). There are also no significant difference in duration of follow-up, the estimated blood loss between two groups (P = 0.45 and P = 0.43 respectively). There are no statistically difference in Preoperative Center Edge Angle between the groups (P = 0.06), while mean Just Postoperative Center Edge Angle and mean Last Follow-up Center Edge Angle were significantly more in pedicle wedge graft group than non-pedicle wedge graft group (P = 0.01 for both). CE angle decreased in both group when comparing its last follow-up to its just post-operative value, but decreasing was significant only in group 1. Conclusion: With our new modification, the healing at osteotomy site will be faster and loss of correction due to graft desorption, will be decreased. Using this pedicle wedge graft may improve the results of pelvic osteotomies in older patients who need a pelvic osteotomy.
کلیدواژه‌های انگلیسی مقاله complication, surgical technique, pelvic osteotomy
نویسندگان مقاله | Mohsen Karami
Department of Orthopaedics, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.


| Alireza Radyn Majd
Department of Orthopaedics, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.


| Mohammad Ali Tahririan
Department of Orthopaedics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.


| Sajad Badiei
Department of Orthopaedics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran


| Amin Karimi
Department of Orthopaedics, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
نشانی اینترنتی http://abjs.mums.ac.ir/article_11253.html
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/328/article-328-1668096.pdf
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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