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[Hip-shelf procedure in children and adolescents]
J Cottalorda1, G Bollini, J L Jouve
1Service de Chirurgie Orthopédique Infantile, Hôpital d'Enfants de la Timone, Marseille.
Summary
The shelf procedure offers significant benefits for hip conditions in children and adolescents, improving acetabular cover over time. This surgical technique is effective for various hip issues, including those resulting from poliomyelitis and osteochondritis.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
Background:
- Shelf operations are utilized for hip conditions in pediatric patients.
- Indications include acetabular dysplasia, neurologic hip disorders, and sequelae of osteochondritis.
Purpose of the Study:
- To review outcomes of shelf operations in childhood and adolescence.
- To compare shelf procedures with pelvic osteotomies in the literature.
Main Methods:
- Retrospective review of 46 hips treated with shelf operations.
- Mean follow-up of 8 years and 1 month.
- Literature review for comparative analysis.
Main Results:
- Good outcomes were observed in hips affected by poliomyelitis and sequelae of osteochondritis.
- In acetabular dysplasia (18 cases), two poor results occurred (pain, ankylosis).
- In cerebral palsy (13 cases), four poor results were attributed to maintaining reduction.
Conclusions:
- Shelf procedures are beneficial for hip conditions in childhood and adolescence.
- Advantages include improved acetabular cover, long-term enhancement, and surgical simplicity.
- The intervention shows promise compared to pelvic osteotomies.