Congenital and Developmental Anomalies of the Hip and Pelvis

Kelly, Derek M.

doi:10.1016/b978-0-323-07243-4.00030-x

Cited by 7 publications

(5 citation statements)

References 265 publications

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“…It can be considered that increased stripping of the soft tissue during surgery, and forceful positioning of the hip joint to maintain hip reduction may also have contributed to AVN of the femoral head. Although some authors have advocated open reduction in patients older than 24 months (25,26), it has been reported that open surgery is a risk factor for AVN (6,27,28). El-sayed et al (24) reported success in neglected DDH patients at walking age, with open reduction with either Salter or Dega osteotomies.…”

Section: Resultsmentioning

confidence: 99%

Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy

Günay¹,

Atalar²,

Ulucaköy³

et al. 2021

Osmangazi̇ Journal of Medicine

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The aim of this study was to show the clinical and radiographic mid-term results of Pembersal and femoral osteotomy without open reduction in patients with mild dysplasia of the hip joint. This case series included 13 Developmental Dysplasia of the Hip (DDH) patients (13 hips), who underwent a combination of Pembersal and femoral osteotomy without open reduction between January 2014 and June 2020. The patients comprised 12 females (93%) and 1 male (8%), with a mean age at surgery of 24.29.40 months (range: 17-51 months) and the average follow-up was 31.413.2 months (range: 12-49 months). The mean acetabular index decreased significantly from 36.6 0 4.87 0 (range:30 0 -46 0 ) preoperatively, to 18 0 1.41 0 (range: 15 0 -21 0 ) at the final follow-up examination (p<0.001). Avascular necrosis (AVN) was not seen in any patient. The results showed that this kind of surgical procedure seems to be successful at the mid-term follow-up in mild hip dysplasia patients. The most important point was that avascular necrosis was not seen in any of the patients with this technique.

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Section: Resultsmentioning

confidence: 99%

Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy

Günay¹,

Atalar²,

Ulucaköy³

et al. 2021

Osmangazi̇ Journal of Medicine

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“…Medial open reduction and CR were applied under same anesthesia based on the acceptable criteria for arthrography. 16 Hips with Tönnis grade 1 arthrography and a larger safe zone with a wide range (>30°) underwent closed reduction, while patients with Tönnis grade ≥2 arthrography underwent medial open reduction. We performed adductor tenotomy in all patients in the MOR group and the hips a narrow safe zone (<30°) in the CR group (7 hips).…”

Section: Methodsmentioning

confidence: 99%

Closed versus medial open reduction in the treatment of developmental dysplasia of the hip under age 1: A retrospective comparative study

Bakircioğlu,

Mert Cetik,

Danisman

et al. 2024

Acta Orthopaedica et Traumatologica Turcica

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Objective: This study aimed to compare the mid-term results of closed reduction (CR) versus medial open reduction (MOR) in the treatment of children with developmental dysplasia of the hip (DDH) under age 1. Methods: Thirty-four patients with DDH (41 hips) were included in this retrospective study with a mean follow-up of 4.2 years (range: 2-6.9 years). All hips were then divided into 2 groups based on the treatment type: the CR group (20 hips) and the MOR group (21 hips). All hips from both groups were assessed with post-spica magnetic resonance imaging (MRI) in the first 24 hours, and reinterventions were recorded. Medial dye pool width was also measured. Results: Age at the time of reduction was similar between the CR and MOR groups (6.6 ± 1.3 months vs. 6.7 ± 1.6 months). There was no significant difference between groups regarding avascular necrosis rate and further corrective surgery (FCS) requirement ( P = .454, .697). The appropriate reduction was seen at 38/41 hips. Three hips in the CR group had revealed dislocation in post-spica MRIs and required re-intervention, and none of the hips in the MOR group required re-intervention ( P = .107). Medial dye pool width in 3 planes showed no significant difference between MOR and CR. Conclusion: There is no difference in the avascular necrosis rate and FCS requirements between CR and MOR under age 1. Post-spica MRI is a favorable tool for evaluating reduction after CR, but its efficacy after MOR is questionable. Level of Evidence: Level III, Therapeutic study.

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“…Pemberton described an acetabuloplasty in which an osteotomy is made through the inner and outer table of the ilium, using the triradiate cartilage as the hinge about which the acetabular roof is rotated anteriorly and laterally. Because of the good anterior and lateral coverage achieved, Pemberton osteotomy is considered the primary procedure in anterior acetabular dysplasia present in anterior hip dislocations [40].…”

Section: Pemberton Osteotomymentioning

confidence: 99%

Hip Dislocation in Cerebral Palsy: Treatment Options

Eldessouky¹

2016

ORP

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Cerebral palsy is a non-progressive damage to the brain and can occurs before, during or after delivery, with musculoskeletal system affected by various degrees [1]. Hip instability and gait abnormalities are common hip problems in Cerebral palsy patients. Hip subluxation and dislocation develops in response to muscle imbalance and spasticity [2]. The patient's problems vary from abnormal gait to painful seating and difficulty in personal hygiene. The goal of treatment in those patients is to provide a painless hip that allows stable sitting and positioning. Incidence The incidence of cerebral palsy is increasing slightly with reports estimating the incidence to be between 2.4 and 2.7 per 1000 live births [3]. The reported incidence of hip displacement in children with cerebral palsy has ranged from 1% to 75% and has been linked with the severity of involvement and the ambulatory status. Incidence of hip displacement is low in patients with mild involvement and who can walk independently, whereas those with more severe involvement and who are unable to walk have the greatest risk of hip displacement [4]. The lowest incidence of hip displacement was found in the children

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Congenital and Developmental Anomalies of the Hip and Pelvis

Cited by 7 publications

References 265 publications

Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy

Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy

Closed versus medial open reduction in the treatment of developmental dysplasia of the hip under age 1: A retrospective comparative study

Hip Dislocation in Cerebral Palsy: Treatment Options

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