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 orthopedic results of bilateral oblique pelvic osteotomy in the treatment.

Materials &Methods: it is a retrospective study evaluating 75 patients with bladder exstrophy (63% male & 37% female) treated in 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 of the external fixator pins requiring early removal after 3 weeks, in addition to 3 who had a waddling gait and one a mild pain.

The recurrence occurred in two patients who were treated with elastic bandage had 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 assessmen, which means that pelvic rediastasis is a progressive increase in interpubic distance resulting from the growth during life.

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

However, it doesn't return the pelvic which is already deformed to normal.