Innominate salter osteotomy using resorbable screws: A retrospective case series and presentation of a new concept for fixation

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Fältnamn	Indikatorer	Metadata
000		04137naa a2200397 4500
001		oai:gup.ub.gu.se/285629
003		SwePub
008		240528s2019 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://gup.ub.gu.se/publication/2856292 URI
024	7	a https://doi.org/10.1302/1863-2548.13.1801952 DOI
040		a (SwePub)gu
041		a eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Hedelin, Henrik,d 1975u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics4 aut0 (Swepub:gu)xhehen
245	1 0	a Innominate salter osteotomy using resorbable screws: A retrospective case series and presentation of a new concept for fixation
264		c 2019-06-01
264	1	b SAGE Publications,c 2019
520		a © 2019, British Editorial Society of Bone and Joint Surgery. All rights reserved. Purpose The Salter innominate osteotomy (SIO) in children is traditionally stabilized by Kirschner-wires, which have issues regarding stability, infection and the need to be extracted. To counter these disadvantages, we present a surgical method to stabilize SIO with modern resorbable poly lactic-co-glycolic acid screws. Using a case series of 21 patients treated with SIO for developmental dysplasia of the hip or Legg-Calvé- Perthes disease we evaluate the feasibility of the method. Methods The integrity of the osteotomy was interpreted by radiological measurements of acetabular index, centre-edge angle and Reimer’s index. Perioperative and postoperative complications were evaluated. Results Radiographic evaluation revealed a stable osteotomy and favourable development in all measured parameters with the exception of one patient who fell out of bed the first day postoperatively. No other perioperative surgical complications were observed and there were no local reactions to the resorbable screws. Conclusion Modern resorbable screws carry multiple benefits both for the patient and the surgeon. In our case series the implants provided sufficient stability and the implants caused no local reactions. The use of resorbable implants gave the surgeon a wider range of possible screw placements and avoided the need for implant removal.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Ortopedi0 (SwePub)302112 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Orthopaedics0 (SwePub)302112 hsv//eng
653		a Absorbable implants
653		a Hip dysplasia
653		a Legg-Calvé-Perthes disease
653		a Osteotomy
700	1	a Larnert, Peru Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics4 aut0 (Swepub:gu)xlarnp
700	1	a Hebelka, Hanna,d 1977u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för radiologi,Institute of Clinical Sciences, Department of Radiology4 aut0 (Swepub:gu)xhebha
700	1	a Brisby, Helena,d 1965u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics4 aut0 (Swepub:gu)xbrish
700	1	a Lagerstrand, Kerstin Mu Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences4 aut0 (Swepub:gu)xlagke
700	1	a Laine, Terou Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics4 aut
710	2	a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för ortopedi4 org
773	0	t Journal of Children's Orthopaedicsd : SAGE Publicationsg 13:3, s. 310-317q 13:3<310-317x 1863-2521x 1863-2548
856	4	u https://doi.org/10.1302/1863-2548.13.180195
856	4 8	u https://gup.ub.gu.se/publication/285629
856	4 8	u https://doi.org/10.1302/1863-2548.13.180195

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Av författaren/redakt...: Hedelin, Henrik, ...; Larnert, Per; Hebelka, Hanna, ...; Brisby, Helena, ...; Lagerstrand, Ker ...; Laine, Tero

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