Triple Innominate Osteotomy for Early Closure  of the Triradiate Cartilage after Hip Joint Injury:  A Pediatric Case Report

Gökhan Bülent Sever; Mehmet Cenk Cankuş; Aydın Büdeyri; Mehmet Dokur

doi:10.5152/EurJTher.2017.118

Authors

Gökhan Bülent Sever Department of Orthopaedics, Sanko University School of Medicine, Gaziantep https://orcid.org/0000-0002-3096-5968
Mehmet Cenk Cankuş Department of Orthopaedics, Sanko University School of Medicine, Gaziantep https://orcid.org/0000-0003-4469-3358
Aydın Büdeyri Department of Orthopaedics, Sanko University School of Medicine, Gaziantep https://orcid.org/0000-0003-1894-5435
Mehmet Dokur Department of Emergency Medicine, Biruni University School of Medicine, İstanbul https://orcid.org/0000-0003-2119-3801

DOI:

https://doi.org/10.5152/EurJTher.2017.118

Keywords:

Acetabular dysplasia, children, early closure, triple innominate osteotomy, triradiate cartilage injury

Abstract

Acetabular fractures are less common in children than those in adults. Even these fractures are rarely seen in infants and usually such fractures require high-impact trauma. Orthopedic surgeons often recommend conservative treatment for acetabular fractures to accommodate remodeling features. In addition, pelvic osteotomies have demonstrated good results; specifically, triple innominate osteotomy treatment has been proven effective. In this study, we report the case of an 8 year-old girl who suffered from hobbling because of preclosure of triradiate cartilage and hip subluxation with left femoral diaphysis fracture resulting in malunion and lower extremity shortening. First we applied osteotomy and plate and screw osteosynthesis for femoral malunion and afterwards triple innominate osteotomy for subluxation caused by acetabular traumatic dysplasia and preclosure of triradiate cartilage. The results were quite satisfying in this case.

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References

Karunakar MA, Goulet JA, Mueller KL, Bedi A, Le TT. Operative treatment of unstable pediatric pelvis and acetabular fractures. J Pediatr Orthop 2005; 25: 34-8.

Lee DH, Jeong WK, Inna P, Noh W, Lee DK, Lee SH. Bilateral sacroiliac joint dislocation (anterior and posterior) with triradiate cartilage injury: a case report. J Orthop Trauma 2011; 25: e111-4.

Musemeche CA, Fischer RP, Cotler HB, Andrassy RJ. Selective management of pediatric pelvic fractures: a conservative approach. J Pediatr Surg 1987; 22: 538-40.

Trousdale RT. Acetabular osteotomy: indications and results. Clin Orthop Relat Res 2004; 182-7.

Trousdale RT, Ganz R. Posttraumatic acetabular dysplasia. Clin Orthop Relat Res 1994; 124-32.

Watts HG. Fractures of the pelvis in children. Orthop Clin North Am 1976; 7: 615-24.

Badina A, Vialle R, Fitoussi F, Damsin JP. Case Reports: Treatment of Traumatic Triradiate Cartilage Epiphysiodesis. What is the Role of Bridge Resection? Clin Orthop Relat Res 2013; 471: 3701-5.

Heeg M, Visser JD, Oostvogel HJ. Injuries of the acetabular triradiate cartilage and sacroiliac joint. J Bone Joint Surg Br 1988;70: 34-7.

Scuderi G, Bronson MJ. Triradiate cartilage injury: report of two cases and review of the literature. Clin Orthop Relat Res 1987; 179-89.

Sener M, Karapinar H, Kazimoglu C, Yagdi S, Akgun U. Fracture dislocation of sacroiliac joint associated with triradiate cartilage injury in a child: a case report. J Pediatr Orthop B 2008; 17: 65-8.

Stäbe-Heyl J, Slongo T, Beck M, Ganz R. Bilateral post-traumatic acetabular dysplasia. Orthopade 2006; 35: 566-70.

Schwarz N, Posch E, Mayr J, Fischmeister FM, Schwarz AF, Ohner T. Long-term results of unstable pelvic ring fractures in children. Injury 1998; 29: 431-3.

McDonald GA. Pelvic disruptions in children. Clin Orthop Relat Res 1980; 130-4. 84 Sever et al. Triple Innominate Osteotomy for Early Closure of the Triradiate Cartilage Eur J Ther 2019; 25(1): 82-5

Bucholz RW, Ezaki M, Ogden JA. Injury to the acetabular triradiate physeal cartilage. J Bone Joint Surg Am 1982; 64: 600-9.

Gepstein R, Weiss RE, Hallel T. Acetabular dysplasia and hip dislocation after selective premature fixation of the triradiate cartilage: an experimental study in rabbits. J Bone Joint Surg Br 1984; 66: 334-6.