Local mucosal flap for the treatment of gingival defect after gingival fibromatosis excision
Year: 2020
Type: article
Abstract: MethodsAfter institutional ethical committee approval was obtained, data of all patients who underwent CR and hip spica in Queen Rania Hospital for Children / Royal Medical Services for children were reviewed retrospectively.All hips were frankly dislocated by radiograph (International Hip Dysplasia Institute (IHDI) grade 3 or 4) at the time of CR and hip spica.Bilateral hips were counted separately.Failure of CR (unsuccessful procedure) was defined as either dislocation in immediate postoperative CT scan or at most recent radiographic follow-up.Residual dysplasia was defined as Acetabular Index (AI) > 25˚.Descriptive analysis with the mean and standard deviation was applied to continuous variables, while for categorical variables, frequencies and percentages were considered.The bivariate (χ2 -test) of independence was used to assess the correlations between the patients' categorically Abstract Objectives: This retrospective study aims to determine the results of treatment of patients with developmental dysplasia of the hip (DDH (by closed reduction (CR) and hip spica and analyze the risk factors for the associated complications of this procedure.Methods: A retrospective review of all patients treated by CR and hip spica from January 2014 to January 2019 in Queen Rania Hospital for Children was done.The operation was considered successful if we could obtain and maintain concentric and stable reduction depending on postoperative CT scan and last radiographic follow-up.The incidence of residual acetabular dysplasia on final follow-up was assessed as well.Results: A total of 202 patients (292 hips) who underwent CR and hip spica for DDH were evaluated with a median follow-up of 25.4 months.The initial success of CR documented by postoperative CT scan was seen in 178 patients (88.1%).Of these, 170 patients (95.5%) continued to have satisfactory reduction as documented by the last follow-up radiograph.Residual dysplasia was seen in 172 hips (68.5%) at the final followup.Conclusion: CR and hip spica could achieve a stable and concentric reduction in most patients.However, this procedure is associated with a high rate of residual acetabular dysplasia.We recommended that the parents of such patients be counseled about the possibility of further surgery at a later stage.
Language: English
Subfield: Periodontics
Field: Dentistry
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W3134099990