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

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

scholarly journals Long-term outcome after anterolateral open reduction and Salter osteotomy for late presenting developmental dysplasia of the hip

2018 ◽  
Vol 12 (4) ◽  
pp. 364-368 ◽  
Author(s):  
S. R. Y. W. Thomas
Keyword(s):  
Femoral Head ◽  
Open Reduction ◽  
Skeletal Maturity ◽  
Hip Dislocation ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Femoral Head Osteonecrosis ◽  
Salter Osteotomy ◽  
Innominate Osteotomy

IntroductionOnly a handful of studies report outcomes after open reduction for developmental hip dislocation beyond skeletal maturity. For successfully reduced hips it is the outcome into late adulthood on which the results of this intervention should be judged. These studies indicate clearly the importance of preservation of the acetabular growth centres during surgery. The acetabulum must also be addressed when insufficient growth remains reliably to remodel residual dysplasia even after stable, concentric reduction.SummaryComparing the longest-term outcome studies for open reduction to less invasive, but mainly historical, techniques of gradual traction reduction it is unsettling to note that the latter protocols are associated with the best results. Whereas open reduction and innominate osteotomy are practised as originally described by Salter, gradual traction reduction has largely been abandoned.ConclusionsThere are probably aspects of the more time-consuming methods of gradual reduction that do not violate the hip joint capsule that expose the femoral head to a lower risk of femoral head osteonecrosis leading to better long-term outcomes.

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

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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