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Research paper thumbnail of A Comparative Study of Salter Versus Pemberton Osteotomy in Open Reduction of Developmental Dysplastic Hips and Clinical Evaluation on Bhatti’s Functional Score System

Cureus, 2021

Objective The study was aimed to compare the outcome of Salter’s and Pemberton’s osteotomy to ach... more Objective The study was aimed to compare the outcome of Salter’s and Pemberton’s osteotomy to achieve adequate acetabular coverage in the open reduction of developmental dysplastic hips (DDH). The functional outcome was evaluated as measured on Bhatti’s Functional Score System (BFSS). Patients and methods The study includes 60 children with 82 hips of developmental dysplasia in walking-age children. They were operated on for open reduction and Salter’s or Pemberton’s pelvic osteotomy to achieve concentric anatomical reduction with good anterolateral coverage of the femoral head. Patients for Salter’s and Pemberton's osteotomies were randomly selected. Preference was given to Pemberton’s osteotomy in cases with double/irregular acetabulum and in bilateral DDH. All patients were operated on by a single surgeon from January 2014 to December 2016 and were followed up till June 2020. The overall radiological outcome was assessed on Severin’s classification, comparing the pre and post...

Research paper thumbnail of Frequency of Satisfactory Outcome with Ponseti Treatment in Congenital Idiopathic Club Feet

Introduction: The Ponseti methodology of managing Congenital Idiopathic Clubfeet has been the gol... more Introduction: The Ponseti methodology of managing Congenital Idiopathic Clubfeet has been the gold standard, with a satisfactory proven long-term outcome at the adulthood. The pre-treatment scoring has not been found to accurately predict for need for number of casts, Achilles tenotomies to achieve a satisfactory outcome at a shortand long term follow-up. This study is designed to evaluate the frequency of outcome with reference to basic demographics and initial Pirani score. Patients and Methods: This prospective observational study was carried out at the Paediatric Orthopaedic section of Department of Orthopedic Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan, from January 2015 to December 2019. The patients included were 103 children with 172 Idiopathic Congenital Club Feet, in age group 1 week to 2 years of either sex, laterality or having Pirani score 3 6 points. They were given treatment during 2015 to 2017 and followed up to the next 2 years. All the patient un...

Research paper thumbnail of A Comparative Study of Salter Versus Pemberton Osteotomy in Open Reduction of Developmental Dysplastic Hips and Clinical Evaluation on Bhatti’s Functional Score System

Cureus, 2021

Objective The study was aimed to compare the outcome of Salter’s and Pemberton’s osteotomy to ach... more Objective The study was aimed to compare the outcome of Salter’s and Pemberton’s osteotomy to achieve adequate acetabular coverage in the open reduction of developmental dysplastic hips (DDH). The functional outcome was evaluated as measured on Bhatti’s Functional Score System (BFSS). Patients and methods The study includes 60 children with 82 hips of developmental dysplasia in walking-age children. They were operated on for open reduction and Salter’s or Pemberton’s pelvic osteotomy to achieve concentric anatomical reduction with good anterolateral coverage of the femoral head. Patients for Salter’s and Pemberton's osteotomies were randomly selected. Preference was given to Pemberton’s osteotomy in cases with double/irregular acetabulum and in bilateral DDH. All patients were operated on by a single surgeon from January 2014 to December 2016 and were followed up till June 2020. The overall radiological outcome was assessed on Severin’s classification, comparing the pre and post...

Research paper thumbnail of Frequency of Satisfactory Outcome with Ponseti Treatment in Congenital Idiopathic Club Feet

Introduction: The Ponseti methodology of managing Congenital Idiopathic Clubfeet has been the gol... more Introduction: The Ponseti methodology of managing Congenital Idiopathic Clubfeet has been the gold standard, with a satisfactory proven long-term outcome at the adulthood. The pre-treatment scoring has not been found to accurately predict for need for number of casts, Achilles tenotomies to achieve a satisfactory outcome at a shortand long term follow-up. This study is designed to evaluate the frequency of outcome with reference to basic demographics and initial Pirani score. Patients and Methods: This prospective observational study was carried out at the Paediatric Orthopaedic section of Department of Orthopedic Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan, from January 2015 to December 2019. The patients included were 103 children with 172 Idiopathic Congenital Club Feet, in age group 1 week to 2 years of either sex, laterality or having Pirani score 3 6 points. They were given treatment during 2015 to 2017 and followed up to the next 2 years. All the patient un...

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