{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:12:34Z","timestamp":1787807554114,"version":"build-2784847793"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: In this study, we evaluated the effectiveness of pelvic support osteotomy treatment in hip instabilities due to various etiologies. \\r\\nMethods: We retrospectively evaluated 21 hips of 20 patients that underwent pelvic support osteotomy between 2005 and 2007. Hip instability was caused by a neglected congenital dislocation of the hip in 12 of the patients (13 hips), by septic arthritis in 7 and by an unsuccessful total hip arthroplasty due to infection in the last patient. The mean age of the patients was 22.6 (range: 12 to 34) years. Osteotomy sites were fixed using monolateral external fixators in 11 patients, Ilizarov circular fixators in 8, and locking plates for both hips of the remaining patient. The mean follow-up period was 33.45 (range: 16 to 45) months. \\r\\nResults: The mean Harris score increased from 48.3 preoperatively to 80.1 postoperatively. Preoperative mean limb length discrepancy was 53.3 mm and mean proximal migration was 42.9 mm. Residual limb length discrepancy was reduced to 16 mm after an average lengthening of 63.3. The preoperative Trendelenburg gait disappeared completely in 13 of 21 hips and was improved in 8 hips. Sixteen of the 20 patients (17 hips) expressed satisfaction with the operation. \\r\\nConclusion: Pelvic support osteotomy is a good treatment option to overcome hip instability as it improves pain and equalizes limb length.\n\n\u00d6zet\n\nAma\u00e7: \u00c7al\u0131\u015fmam\u0131zda pelvik destek osteotomisinin farkl\u0131 etiyolojik nedenlerle ortaya \u00e7\u0131kan kal\u00e7a instabilitelerinin tedavisindeki etkinli\u011fini de\u011ferlendirmeyi ama\u00e7lad\u0131k. \\r\\n\u00c7al\u0131\u015fma plan\u0131: 2005\u20132007 tarihleri aras\u0131nda, pelvik destek osteotomisi uygulanan 20 hastan\u0131n 21 kal\u00e7as\u0131 retrospektif olarak incelendi. Hastalardan 12 tanesinde (13 kal\u00e7a) geli\u015fimsel kal\u00e7a \u00e7\u0131k\u0131\u011f\u0131na, 7 tanesinde septik artrite ve 1 tanesinde de enfekte kal\u00e7a protezi sonras\u0131 implant\u0131n uzakla\u015ft\u0131r\u0131lmas\u0131na ba\u011fl\u0131 instabiliteye rastland\u0131. Hastalar\u0131n ortalama ya\u015f\u0131 22.6 (da\u011f\u0131l\u0131m: 12-34) y\u0131l, ortalama takip s\u00fcresi ise 33.45 (da\u011f\u0131l\u0131m: 16-45) ay olarak hesapland\u0131. Osteotomilerin tespiti i\u00e7in 11 hastada monolateral fiksat\u00f6r, 8 hastada sirk\u00fcler fiksat\u00f6r ve bilateral \u00e7\u0131k\u0131\u011f\u0131 olan hastada da kilitli plaklar kullan\u0131ld\u0131. \\r\\nBulgular: Pelvik destek osteotomisi \u00f6ncesi ortalama 48.3 olan Harris skoru ameliyatlar sonras\u0131 80.1\u2019e y\u00fckseldi. Ameliyat \u00f6ncesinde ortalama k\u0131sal\u0131k 53.3 mm ve ortalama proksimal migrasyon 42.9 mm iken, ortalama 63.3 mm\u2019lik uzatma sonras\u0131nda kalan k\u0131sal\u0131k ortalama olarak 16 mm olarak hesapland\u0131. Yirmibir kal\u00e7adan 13 tanesinde Trendelenburg y\u00fcr\u00fcy\u00fc\u015f\u00fcn\u00fcn tamamen, 8 tanesinde ise k\u0131smen d\u00fczeldi\u011fi g\u00f6r\u00fcld\u00fc. Ameliyat sonras\u0131nda hastalara ge\u00e7irdikleri ameliyattan memnun olup olmad\u0131klar\u0131 soruldu\u011funda 20 hastadan 16 tanesinin (17 kal\u00e7a) memnun oldu\u011fu g\u00f6r\u00fcld\u00fc. \\r\\n\u00c7\u0131kar\u0131mlar: Sonu\u00e7lar\u0131m\u0131z pelvik destek osteotomisinin kal\u00e7a instabilitelerinin giderilmesinde, a\u011fr\u0131n\u0131n ve e\u011fer varsa boy e\u015fitsizli\u011finin ortadan kald\u0131r\u0131lmas\u0131nda etkin bir tedavi y\u00f6ntemi oldu\u011funu d\u00fc\u015f\u00fcnd\u00fcrmektedir.<\/jats:p>","DOI":"10.3944\/aott.2011.2323","type":"journal-article","created":{"date-parts":[[2012,1,24]],"date-time":"2012-01-24T06:02:26Z","timestamp":1327384946000},"page":"437-445","source":"Crossref","is-referenced-by-count":9,"title":["An effective treatment for hip instabilities: pelvic support osteotomy and femoral lengthening"],"prefix":"10.5152","volume":"45","author":[{"given":"Sarper","family":"Gursu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilal","family":"Demir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timur","family":"Yildirim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Turgay","family":"Er","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aysegul","family":"Bursali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vedat","family":"Sahin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2539\/2495","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:27:42Z","timestamp":1763465262000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2539"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2011,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2011.2323","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}