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V Dürrschmidt

Publications and source records attributed to V Dürrschmidt.

22 records · Page 2Linked to original sources
PubMedDate not supplied

[Long-term management results of Pemberton's ilium osteotomy in combination with inter-trochanter derotation-varisation osteotomy in hip dysplasia of childhood].

AIM: The aim of the present study was to obtain long-term functional and radiographic results after a pericapsular osteotomy of the ilium (Pemberton) and a simultaneously performed derotation-varisation osteotomy of the proximal femur in children with developmental dysplasia of the hip (DDH) after the end of the maturity process. METHOD: The clinical results and x-ray measurements of 79 patients with 100 operated hips were analysed. The average follow-up time after surgery was 14 years and 7 months (range: 10.4 to 19.5 years). The indication for operation was determined using the acetabular angle of more than two standard deviations. RESULTS: The clinical investigation shows that 85 % of the operated patients had no functional limitations. 14 % of the patients had minor limitations and 1 % had major limitations in their hip movement. No patient suffered constant hip pain; 62 % had no pain even after long walking; 32 % had pain after walking for more than an hour; 6 % complained of hip pain after walking for less than an hour. The radiological measurements show that 95.9 % of the patients had normal or mildly pathological ACM angle scores, and 92.8 % had normal or mildly pathological CE angle scores. CONCLUSION: Surgical treatment of residual hip dysplasia by simultaneously performed pericapsular ilium and proximal femur osteotomy is very effective. Although a radiographically almost normal acetabulum could be documented in patients after the end of the maturity process, revalgisation of the proximal femur occurred. With an appropriate acetabular correction additional osteotomy of the femur might therefore be unnecessary.

Adolescent↗
PubMedDate not supplied

[The negative acetabuloplastic effect of intertrochanteric rotation-adduction osteotomy].

The IRVO with the increased age had negative effect on the acetabuloplastic development. Because the size of the CCD-angle has no effect on the acetabular development, the persistent, relative and absolute retrotorsion leads to prearthrotic deformity. The end result is, the conservatively treated luxated hip in stage of dysplasia is better from operative correction of the shaft-neck axis. The primary by the congenital dislocation of the hip is the acetabular roof.

Acetabulum↗