Medial-Approach Open Reduction of Hip Dislocation in Amyoplasia-Type Arthrogryposis

Szöke, George; Staheli, Lynn T.; Jaffe, Kenneth M.; Hall, Judith G.

doi:10.1097/01241398-199601000-00026

Cited by 54 publications

(36 citation statements)

References 17 publications

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“…Moreover, high anatomical variations in these nerves, blood vessels and their branches increase the risk of injury (6). Medial approaches are often used to treat dysplasia or hip dislocation; however, this approach has been shown to have an avascular necrosis rate of 12-54.3% (12)(13)(14)(15)(16). Furthermore, the incision is close to the perineum, which increases the risk of infection.…”

Section: Vas (Mm) ---------------------------------------------------mentioning

confidence: 99%

A novel surgical approach for the treatment of tumors in the lesser trochanter

Sun

Song

et al. 2015

Experimental and Therapeutic Medicine

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Abstract. The proximal femur is a common location for the development of primary benign bone tumors. However, there is currently no surgical technique designed specifically for treating tumors located in the lesser trochanter. In the present study, a novel procedure was developed for directly exposing the lesser trochanter for surgical intervention. This technique may be particularly suited to treating tumors that extend toward the lateral and anterior forward of the lesser trochanter. The new approach involved passing through the femoral triangle, separating the femoral nerve and femoral vessels (artery and vein) and resecting the tumor between the iliopsoas and pectineal muscles. The procedure was performed on six patients with various types of tumor, including one case with osteoid osteoma, one case with non-osteogenic fibroma, one case with osteoma, one case with liposarcoma and two cases of osteochondroma. The preliminary results indicated that the surgical durations were short (60-100 min), blood loss was minimal (30-200 ml) and that pain relief was achieved following surgery. Only one patient continued to experience mild pain, scoring 18 mm on a visual analog scale. The other patients were fully relieved of pain. Sensory dysfunction was experienced by one patient following surgery, with persistent numbness and paresthesias in the distribution of the femoral nerve. No cases of deep vein thrombosis, femur head necrosis, hip joint degeneration disease or local recurrence were identified in any patients during the follow-up period. In order to clarify the virtual tissue, such vessels, nerves and the available space in our approach area, we collected 20 cadaveric specimens and performed anatomical examinations in and around the formal triangle. The spaces between the femoral artery and femoral nerve were measured and analyzed, with the results demonstrating that a definite space existed. Therefore, the novel approach presented in the study may be useful in the resection of benign tumors and the preoperative palliative resection of malignant tumors. The technique may be particularly suited to tumors extending toward the lateral and anterior of the lesser trochanter.

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Section: Vas (Mm) ---------------------------------------------------mentioning

confidence: 99%

A novel surgical approach for the treatment of tumors in the lesser trochanter

Sun

Song

et al. 2015

Experimental and Therapeutic Medicine

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“…Однако даже при удачном вправлении бедра доразвитие вертлужной впадины наступает не всегда. При этом отмечается большое количество осложнений, таких как релюксация, тугоподвижность, асептический некроз головки бедра [5,11,16,17,42,46,48,51].…”

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“…Одни авторы утверждают, что двусторонний вывих сопровождает-ся меньшими биомеханическими нарушениями, и при удовлетворительной амплитуде движений в тазобе-дренном суставе вправлять бедро не следует, так как велик риск развития болевого синдрома, релюксации, аваскулярного некроза головки бедренной кости и ту-гоподвижности в суставе [5,21,24,25,27,28,32,35]. В то же время другие авторы полагают, что если ре-бенок имеет перспективы к самостоятельному пере-движению, и изначально в тазобедренном суставе нет тугоподвижности, то любой вывих бедра необходимо вправлять [16,17,29,38,43,45,46,48,50].…”

unclassified

“…Так, G. Szoke и соавторы (1996) отметили развитие релюксации в 8 % случаев, а F. Grill (1990) во всех случаях при лечении двустороннего вы-виха бедра получил тугоподвижность сустава, ампли-туда сгибания не превышала 25° [29,45,46,48].…”

unclassified

“…Так, одни авторы полагают, что открытое вправление бедра следует выполнять в возрасте до 1 года [2,29,[45][46][47][48]. Другие же исследователи полагают, что в возрасте с 2-3 лет необходимо выполнять полный объем вмешательства на тазобедренном суставе, включающего в себя открытое вправление бедра, корригирующие осте-отомии бедра и таза, так как, по их мнению, после откры-того вправления не всегда происходит доразвитие верт-лужной впадины, что в дальнейшем может привести к развитию релюксации или подвывиха [5-7, 11-12, 41, 50].…”

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See 2 more Smart Citations

Treatment of children with the hip pathology suffering from arthrogryposis (A review of the literature)

Bat'kin¹,

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Arthrogryposis

Hall¹

2005

Management of Genetic Syndromes

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Arthrogryposis, or multiple congenital contractures, is relatively common, affecting one child in 3000. The challenge is to determine the specific diagnosis. Congenital contractures occur because of decreased fetal movement. The longer the reduction or lack of movement, the more severe the contractures. Decreased fetal movement occurs on the basis of abnormalities of brain, muscle, nerve, connective tissue, lack of space, maternal illness, environmental agents, or vascular compromise. Therapy may differ depending on the limb positioning and diagnosis.

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Medial-Approach Open Reduction of Hip Dislocation in Amyoplasia-Type Arthrogryposis

Cited by 54 publications

References 17 publications

A novel surgical approach for the treatment of tumors in the lesser trochanter

A novel surgical approach for the treatment of tumors in the lesser trochanter

Treatment of children with the hip pathology suffering from arthrogryposis (A review of the literature)

Arthrogryposis

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