Document Detail


Long-term outcome of Ludloff's medial approach for open reduction of developmental dislocation of the hip in relation to the age at operation.
MedLine Citation:
PMID:  19449005     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We reviewed long-term outcomes after open reduction by the medial approach for developmental dislocation of the hip (DDH). Forty-five hips in 43 patients with more than ten years of follow-up were assessed clinically and radiologically. The mean age at surgery was 14.0 (range 6-31) months, and the follow-up period ranged from ten to 28 years (mean 16.4 years). We compared the good (18 hips) and poor groups (27 hips) as classified by the Severin classification. The mean age at surgery was significantly older in the poor group than the good group (17.1 and 9.4 months, respectively, P < 0.001). Thirteen (29%) of 45 hips had avascular necrosis (AVN) of the femoral head. The mean age at surgery was significantly older in the patients with AVN than without AVN (20.0 and 11.6 months, respectively, P < 0.001). Another approach, such as the wide exposure method, should be selected for DDH with increased age at operation.
Authors:
Kunihiko Okano; Kenji Yamada; Katsuro Takahashi; Hiroshi Enomoto; Makoto Osaki; Hiroyuki Shindo
Related Documents :
8625585 - Core decompression for osteonecrosis of the femoral head.
7964775 - Autophor cementless total hip arthroplasty for osteoarthrosis secondary to congenital h...
16897195 - Multicenter study for legg-calvé-perthes disease in japan.
20570105 - Accuracy of diagnostic injection in differentiating source of atypical hip pain.
10957655 - Prophylactic vena caval filters in trauma: the rest of the story.
24656285 - Results of the post-market registry to evaluate the heartware left ventricular assist s...
Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2009-05-16
Journal Detail:
Title:  International orthopaedics     Volume:  33     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-05     Completed Date:  2009-12-22     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1391-6     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Nagasaki Medical Center, 2-1001-1 Kubara, Omura, 852-8562, Japan. kunidon@wm.pdx.ne.jp
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Age Factors
Child, Preschool
Female
Femur Head Necrosis / etiology,  surgery*
Follow-Up Studies
Hip Dislocation, Congenital / complications,  physiopathology,  radiography,  surgery*
Hip Joint / pathology,  radiography,  surgery
Humans
Infant
Male
Osteotomy / adverse effects,  methods*
Postoperative Complications
Retrospective Studies
Treatment Outcome
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The Toll-like receptor 7/8 agonist resiquimod greatly increases the immunostimulatory capacity of hu...
Next Document:  Phase I and pharmacokinetic study of cisplatin and troxacitabine administered intravenously every 28...