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- Title
Safe Surgical Dislocation of the Hip in the Management of Pediatric and Adolescent Hip Problems.
- Authors
Mohammad, Abdallah Attia; Nasef, Mohammad Hazem Mahmoud; Abd-Elsalam, Abd-Elsalam Eid; Algohiny, Ibrahim Abdellatif
- Abstract
Background: surgical hip dislocation (SHD) allows for 360 degrees view of the acetabulum and femoral head without risking the femoral head blood supply. Since then, this approach has been utilized by many surgeons for correction of the morphological abnormalities of the proximal femur with a reported low rate of complications. This work aims for assessing the outcome of the surgical hip dislocation in pediatric and adolescents with follow up for one year. Methods: This is a prospective study of 40 hips in 38 patients with intra articular hip pathology of variable causes, managed by surgical hip dislocation. Average age was 15 years old. Operative indications for the approach in this series were: Slipped capital femoral epiphysis (SCFE) in 18 cases, femoro acetabular impingement (FAI) in 7 cases, acetabular fracture in 4 cases, femoral head fractures in 3 cases, intraarticular hip lesion in 4 cases and intraarticular loose bodies in 4 cases. All patients were followed-up for a period ranging from 12 months to 18 months. Results: The overall results in 40 hips that were operated by surgical hip dislocation for various indications according to Harris Hip Score were:- 19 hips excellent results (47.5%), 11 hips good results (27.5%), 6 hips fair results (15%) and 4 hips poor results (10%). Conclusion: SHD by itself is as a safe and reliable technique that is associated with minimal risk of long term morbidity due to minimal, or no disruption of femoral head circulation if it is performed very carefully.
- Subjects
HIP fractures; FEMUR head; HIP joint dislocation; FEMORAL epiphysis; ACETABULUM surgery; FEMORAL fractures; TEENAGERS; FEMUR
- Publication
Zagazig University Medical Journal, 2023, Vol 29, p310
- ISSN
1110-1431
- Publication type
Article
- DOI
10.21608/ZUMJ.2021.55212.2063