Neglected, developmental hip dislocation treated with external iliofemoral distraction, open reduction, and pelvic osteotomy

2012 ◽  
Vol 21 (3) ◽  
pp. 209-214 ◽  
Author(s):  
Piotr Wojciechowski ◽  
Damian J. Kusz ◽  
Lukasz S. Cieliński ◽  
Sławomir Dudko ◽  
Przemysław L. Bereza
Keyword(s):  
Open Reduction ◽  
Hip Dislocation ◽  
Pelvic Osteotomy ◽  
Developmental Hip Dislocation

Medial Versus Anterior Open Reduction for Developmental Hip Dislocation in Age-matched Patients

2015 ◽  
Vol 35 (1) ◽  
pp. 50-56 ◽  
Author(s):  
Jason S. Hoellwarth ◽  
Young-Jo Kim ◽  
Michael B. Millis ◽  
James R. Kasser ◽  
David Zurakowski ◽  
...  
Keyword(s):  
Open Reduction ◽  
Hip Dislocation ◽  
Developmental Hip Dislocation

Closed Vs. Open Reduction/Salter Innominate Osteotomy for Developmental Hip Dislocation After Age 18 Months

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Elizabeth J. Scott ◽  
Lori A. Dolan ◽  
Stuart L. Weinstein
Keyword(s):  
Open Reduction ◽  
Hip Dislocation ◽  
Innominate Osteotomy ◽  
Developmental Hip Dislocation

scholarly journals Clinical efficacy of early open reduction of dislocated hips using a modified Smith-Peterson approach in arthrogyposis multiplex congenita

2020 ◽  
Author(s):  
Mingyuan Miao ◽  
Haiqing Cai ◽  
Zhigang Wang ◽  
Liwei Hu ◽  
Jingxia Bian ◽  
...  
Keyword(s):  
Revision Surgery ◽  
Open Reduction ◽  
Linear Regression Analysis ◽  
Randomized Study ◽  
Hip Dislocation ◽  
Rectus Femoris ◽  
Pelvic Osteotomy ◽  
Multiple Linear Regression Analysis ◽  
Arthrogryposis Multiplex Congenita ◽  
Level Of Evidence

Abstract Background: Arthrogryposis multiplex congenita (AMC) is a rare syndrome with multiple joint contractures. There is controversy regarding what the best surgical approach and age is for performing reduction of dislocated hips in AMC. The purpose of this retrospective study was to evaluate the clinical outcome of early open reduction on infant hip dislocation with arthrogryposis multiplex congenita through the modified Smith-Peterson approach, with retained rectus femoris intact. Methods: From 2010 to 2017, we performed this procedure on 28 dislocated hips in 20 infants under 12 months of age with AMC. The clinical and radiology data were retrospectively reviewed. The mean age at surgery was 6.9 ± 5.1 months, with a mean follow-up of 42.4 ± 41.1 months. Results: After open reduction, the average hip acetabular index (AI), the international hip dysplasia institute classification (IHDI), and hip range of motion were significantly improved (all P<0.001). After the surgery, 16 patients were community walkers and four patients were home walkers. Three hips in two patients required secondary revision surgery for residual acetabular dysplasia with combined pelvic osteotomy and femoral osteotomy. Seven of the hips that had been operated on showed signs of avascular necrosis (AVN). Among them, four were degree II, two were degree III, and one was degree IV. Multiple linear regression analysis demonstrated that the older months are risk factors for secondary revision surgery (P=0.032). Conclusions: The modified Smith-Peterson approach with retained rectus femoris intact is an encouraging and safe option for treating hip dislocation in young AMC patients (before 12 months). Even if surgery takes place at less than 12 months old for patients with AMC, earlier open reduction for hip dislocation may reduce the chance of secondary revision surgery. Level of Evidence: IV, retrospective non-randomized study. Key words: Arthrogryposis, Hip dislocation, Open reduction, Modified Smith-Peterson approach, Retained rectus femoris

scholarly journals Early open reduction of dislocated hips using a modified Smith-Petersen approach in arthrogyposis multiplex congenita

2020 ◽  
Author(s):  
Mingyuan Miao ◽  
Haiqing Cai ◽  
Zhigang Wang ◽  
Liwei Hu ◽  
Jingxia Bian ◽  
...  
Keyword(s):  
Revision Surgery ◽  
Open Reduction ◽  
Linear Regression Analysis ◽  
Hip Dislocation ◽  
Rectus Femoris ◽  
Pelvic Osteotomy ◽  
Multiple Linear Regression Analysis ◽  
Medical Community ◽  
Arthrogryposis Multiplex Congenita ◽  
Age At Surgery

Abstract Background: Arthrogryposis multiplex congenita (AMC) is a rare syndrome with multiple joint contractures. Within the medical community, there is controversy surrounding AMC in terms of the ideal surgical approach and age for performing a reduction of dislocated hips. The purpose of this retrospective study was to evaluate the clinical outcomes of early open reduction of infant hip dislocation with arthrogryposis multiplex congenita following a modified Smith-Petersen approach that preserves the rectus femoris. Methods: From 2010 to 2017, we performed this procedure on 28 dislocated hips in 20 infants under 12 months of age with AMC. The clinical and radiology data were reviewed retrospectively. The mean age at surgery was 6.9 ± 5.1 months, with a mean follow-up of 42.4 ± 41.1 months. Results: After open reduction, the average hip acetabular index (AI), the international hip dysplasia institute classification (IHDI), and the hip range of motion significantly improved (all P<0.001). After the surgery, 16 patients were community walkers, and four patients were home walkers. Three hips in two patients required secondary revision surgery for residual acetabular dysplasia with combined pelvic osteotomy and femoral osteotomy. Seven of the hips that had been operated on showed signs of avascular necrosis (AVN). Among them, four were degree II, two were degree III, and one was degree IV. Multiple linear regression analysis demonstrated that greater age (in months) heightened the risk for secondary revision surgery (P=0.032). Conclusions: The modified Smith-Petersen approach preserving the rectus femoris is an encouraging and safe option for treating hip dislocation in young AMC patients (before 12 months). If surgery takes place at less than 12 months of age for patients with AMC, this earlier open reduction for hip dislocation may reduce the chances of secondary revision surgery.

Long-term results after open reduction of developmental hip dislocation by an anterior approach lateral and medial of the iliopsoas muscle

2005 ◽  
Vol 14 (2) ◽  
pp. 79-87 ◽  
Author(s):  
Wolfgang Cordier ◽  
Dietrich Tönnis ◽  
Klaus Kalchschmidt ◽  
Klaus Jürgen Storch ◽  
Bernd Dietrich Katthagen
Keyword(s):  
Open Reduction ◽  
Anterior Approach ◽  
Hip Dislocation ◽  
Long Term Results ◽  
Iliopsoas Muscle ◽  
Developmental Hip Dislocation

scholarly journals Hip dislocation following the treatment of femoral neck fracture: Case report

2010 ◽  
Vol 138 (3-4) ◽  
pp. 248-251
Author(s):  
Zoran Vukasinovic ◽  
Igor Seslija ◽  
Borislav Dulic
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Open Reduction ◽  
Weight Bearing ◽  
Young Patients ◽  
Hip Dislocation ◽  
Full Weight Bearing ◽  
Limited Range Of Motion ◽  
Femoral Head Osteonecrosis ◽  
Neck Fracture

Introduction. Femoral neck fractures are very rare in young patients and are frequently complicated by femoral head osteonecrosis and femoral neck nonunion. Case Outline. A 19-year-old girl with hip dislocation following the treatment of the femoral neck fracture is presented. The femoral neck fracture was initially treated by open reduction and three-screw fixation. After detecting the nonunion of femoral neck, valgus osteotomy was done. Secondary, iatrogenic, hip dislocation appeared. The patient had pains, and in clinical findings a shorter leg and limited range of motion in the hip - altogether 40 degrees. She was then successfully treated by open reduction, together with Chiari pelvic osteotomy and joint transfixation. Transfixation pin was removed three weeks following the operation. After that, the patient was put into the abduction device and physical therapy was started. The mentioned regimen lasted four months after the surgery, then the abduction device was removed and walking started. Full weight bearing was allowed eight months after surgery. Conclusion. As we have not found the literature data concerning the above mentioned problem, we solved it in the way that we usually do for the treatment of developmental dislocation of the hip in adolescence.

scholarly journals A 6-Month-Old Neglected Obturator Inferior Variety of Anterior Hip Dislocation in A Young Male Managed with an Intermediary Salvage Measure Without the Need for Osteotomy or Excision Arthroplasty with A Resultant Ambulatory Natural Hip – A Case Report

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Spandan R Koshire ◽  
Rajesh R Koshire ◽  
Sangam Jain
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
Hip Dislocation ◽  
Young Male ◽  
Anterolateral Approach ◽  
Salvage Procedure ◽  
Replacement Procedure ◽  
Anterior Hip Dislocation ◽  
Excision Arthroplasty

Introduction: Among all the traumatic hip dislocations, anterior hip dislocation is a rarity in which the obturator inferior variety is one of the rarest to be documented [1]. Here we present to you the case of our patient, a 35-year-old male with a six month neglected obturator variety of anterior hip dislocation treated by salvage procedure of open reduction without the need for intertrochanteric osteotomy and resultant preserved natural hip for ambulation as an intermediary procedure. Case Report: Mr. SH a 35-year-old male had a fall from 15 feet in his village and was treated by a local quack, Meanwhile the patient continued to experience pain and difficulty walking and after an ordeal of nearly 6 months during the lockdown period in coronavirus disease pandemic, showed up in our emergency room and was diagnosed with an obturator type anterior hip dislocation for which we carried out open reduction aided with Murphys skid through an anterolateral approach and stabilization using two Steinman pins and further immobilization by Thomas splint for a period of 15 days, which was done after confirmation of intact head vascularity under general anesthesia after which gradual mobilization was initiated. 3 months post operative, now patient is ambulatory with stick support with no deformity, no pain and with early radiological features of avascular necrosis (AVN) for which Total Hip Replacement (THR) is planned at a later date. Conclusion: Utilisation of salvage procedures and moreover those with minimal operative complications will result in better, natural long-term intermediary measure outcome with a resultant delay in joint replacement procedure which is in the better interest of the patient. Keywords: Anterior hip dislocation, open reduction, obturator inferior type, neglected dislocation, Anterolateral approach.

scholarly journals Anterolateral-approach Open Reduction Combined with Pemberton Pericapsular Osteotomy and/or Femoral Osteotomy for Hip Dislocation in Children.

1999 ◽  
Vol 48 (1) ◽  
pp. 259-263
Author(s):  
Yasuo Noguchi ◽  
Hideaki Kubota ◽  
Seiya Jingushi ◽  
Toshihide Shuto ◽  
Yasuharu Nakashima ◽  
...  
Keyword(s):  
Open Reduction ◽  
Hip Dislocation ◽  
Femoral Osteotomy ◽  
Anterolateral Approach

A COMPREHENSIVE PELVIC AND FEMORAL OSTEOTOMY REVISION TO TREAT A FAILED PELVIC AND FEMORAL OSTEOTOMY: A CASE REPORT

2021 ◽  
pp. 2150022
Author(s):  
Panos K. Megremis ◽  
Orestis P. Megremis
Keyword(s):  
Surgical Procedure ◽  
Open Reduction ◽  
Pelvic Osteotomy ◽  
Femoral Osteotomy ◽  
Salter Osteotomy ◽  
Shortening Osteotomy ◽  
Innominate Osteotomy ◽  
Walking Age ◽  
One Year

Hip’s open reduction combined with Salter innominate osteotomy and femoral osteotomy is the treatment of choice when treating Developmental Dislocation of the Hip (DDH) at walking age. We report a case of a five-year-old girl who underwent a failed surgical procedure of hip’s open reduction, Salter innominate osteotomy, and the femoral osteotomy. One year later, one-stage surgical procedure of hip’s open reduction, Dega pelvic osteotomy, and femoral de-rotation varus shortening osteotomy was performed. During the five-year follow-up, the clinical outcome was evaluated as excellent. The Dega pelvic osteotomy is an effective pelvic osteotomy for DDH, in a case of a failed Salter osteotomy.

Surgical Technique: Open Hip Dislocation, Open Reduction, and Internal Fixation

2021 ◽  
pp. 1-8
Author(s):  
Mara L. Schenker ◽  
Max E. Davis ◽  
Samir Mehta ◽  
Jaimo Ahn
Keyword(s):  
Surgical Technique ◽  
Internal Fixation ◽  
Open Reduction ◽  
Hip Dislocation
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