خزع الحوض المائل عند مرضى انقلاب المثانة

Abstract EN

Background & Objective: bladder exstrophy is a rare congenital deformity in the children; the role of orthopedic surgeon, in addition to many development approaches of treatment, has decreased the complication and morbidity rate.

The aim of this study is to assess results of bilateral oblique pelvic osteotomy in the treatment.

Materials &Methods: it is a retrospective study evaluating 75 patents with bladder exstrophy (63% male & 37% female) treated in the Children University Hospital in Damascus between 2005 and 2010, by bilateral oblique pelvic Osteotomy, with 61 cases fixed with external fixation and 14 with elastic bandage.

The mean follow-up time was 59 months.

Results: complications included 7 cases of wound infection with 3 developed to loosening the external fixator pins requiring early removal after 3 weeks, in addition to 3 who had a waddling gait and one having a mild pain.

The recurrence occurred in two patents (who were treated with elastic bandage) having a wound dehiscence and bladder prolapse.

The mean symphyseal diastasis for all patients was 55.51 mm before operation and 31.07 mm in the final assessment.

The mean percentage of pubic approximation for the series was 85.52% after operation and 49.13% in the final assessment.

It means that pelvic rediastasis is a progressive increase in interpubic distance resulting from growth during life.

Conclusion: bilateral oblique pelvic osteotomy with or without external fixation is a safe and effective procedure in the management of bladder exstrophy patents.

None the less, it doesn't return the pelvic to normal once is already deform.