Document Detail


One-stage bilateral open reduction through a medial approach in developmental dysplasia of the hip.
MedLine Citation:
PMID:  19092015     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The outcome of one-stage bilateral open reduction through a medial approach for the treatment of developmental dysplasia of the hip in children under 18 months was studied in 23 children, 18 girls and five boys. Their mean age at operation was 10.1 months (6 to 17) and the mean follow-up was 5.4 years (3 to 8). Acceptable clinical and radiological results were achieved in 44 (95.7%) and 43 (93.5%) of 46 hips, respectively. Excellent results were significantly evident in patients younger than 12 months, those who did not require acetabuloplasty, those whose ossific nucleus had appeared, and in those who did not develop avascular necrosis. One-stage bilateral medial open reduction avoids the need for separate procedures on the hips and has the advantages of accelerated management and shorter immobilisation and rehabilitation than staged operations.
Authors:
M M Zamzam; K I Khoshhal; A A Abak; K A Bakarman; A M M AlSiddiky; K O AlZain; M K Kremli
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  91     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-12-18     Completed Date:  2009-02-12     Revised Date:  2012-03-29    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  113-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedics College of Medicine and King Khalid University Hospital, Riyadh, Saudi Arabia. mmzamzam@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Acetabulum / radiography,  surgery*
Age Factors
Child
Child, Preschool
Female
Femur Head Necrosis / surgery*
Hip Dislocation, Congenital / physiopathology,  radiography,  surgery*
Humans
Infant
Male
Orthopedic Procedures / methods,  standards*
Postoperative Complications / surgery
Range of Motion, Articular / physiology
Treatment Outcome

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


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