Open Reduction in Congenital Dislocation of the Hip

Somerville, E. W.

doi:10.1302/0301-620x.35b3.363

Cited by 68 publications

(15 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore, much discussion has revolved around whether or not the limbus should be removed. In 1953, Somerville [19] wrote, ''the inverted limbus is a very important, if not the all-important, cause of failure to achieve immediate and complete reduction of a congenitally dislocated hip.'' In his series of 23 open reductions of the hip, he completely excised the limbus in 21 hips and transversely cut the limbus in two other hips.…”

Section: The Limbusmentioning

confidence: 99%

The Limbus and the Neolimbus in Developmental Dysplasia of the Hip

Landa

Benke

Feldman

2008

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Section: The Limbusmentioning

confidence: 99%

The Limbus and the Neolimbus in Developmental Dysplasia of the Hip

Landa

Benke

Feldman

2008

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

“…In general, everyone agrees that the closed reduction of hip joints in newborns should be tried first, but this will fail in a proportion of patients; some due to the intervention of soft tissue [5,6] . Persistence with conservative therapy can then lead to permanent defect joints.…”

Section: The Results Of Anterior Open Reduction Approach For Developmmentioning

confidence: 99%

The Results of Anterior Open Reduction Approach for Developmental Dysplasia of the Hip in Children Under 12 Months Old

Hưng¹,

Hien²,

Duc³

2019

International Journal of Orthopaedics

View full text Add to dashboard Cite

BACKGROUND: This study aimed to evaluate the results of the previous method of anterior open reduction done in children <12 months of age. METHOD: Patients who underwent an anterior open reduction in the typical hip dysplasia between 2012-2018 were screened retrospectively. The study included 12 hips of 12 patients. The corrected percentage of acetabular index is calculated by measurements of acetabular angles performed prior operation and at the final examination. Avascular necrosis (AVN) is classified according to the criteria of Kalamchi-MacEwen while X-ray and clinical evaluation is performed by Severin and McKay criteria. RESULTS: The average age for surgery was 9.91 months (9-11 months) while the average follow-up time was found to be 52.75 months (43-64 months). According to the radiology criteria Severin, Eveluating patients after surgery with Excellence 5 (41.7), Good 4 (33.3%), Mediation 2 (16.7%), Poor 1 (8.3%). Whereas, according to the rating based on McKay criteria, Excellent 8 (66.7%), Good 3 (25.0%) and Poor 1 (8.3%). Avascular necrosis (AVN) of the femoral head has been encountered in 1 (8.3%) of 12 hips. According to the criteria of Kalamchi-MacEwen Classification; 1 unveiled type I avascular necrosis, respectively. CONCLUDE: We have encountered according to outcomes data of this study that open reduction technique by the anterior approach for treatment of developmental dysplasia of the hip (DDH) presented more successful clinical and radiological outcomes in the 9-< 12 months old infants.

show abstract

“…All of the hips were operated on using a modified Smith-Petersen approach, but the rectus femoris was preserved through an incision below the iliac crest [19,20]. The iliac apophysis was split and the iliac wing exposed subperiosteally.…”

Section: Surgical Treatmentmentioning

confidence: 99%

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

Miao

Cai

Wang

et al. 2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

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. Level of evidence: IV, retrospective non-randomized study.

show abstract

Open Reduction in Congenital Dislocation of the Hip

Cited by 68 publications

References 1 publication

The Limbus and the Neolimbus in Developmental Dysplasia of the Hip

The Limbus and the Neolimbus in Developmental Dysplasia of the Hip

The Results of Anterior Open Reduction Approach for Developmental Dysplasia of the Hip in Children Under 12 Months Old

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

Contact Info

Product

Resources

About