Safe Surgical Dislocation of the Hip in the Management of Pediatric and Adolescent Hip Problems

Document Type : Original Article

Authors

1 faculty of medicine- orthopedic departement

2 orthopedic department ; faculty of medicine ; zagazig university

3 Orthopedic department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Abstract

surgical hip dislocation(SHD) allows 360 degrees view of the acetabulum and femoral head without risking femoral head blood supply. This approach has been utilized by many surgeons for correction of abnormalities of the proximal femur with a reported low rate of complications.

Aim of the work: assessing the outcome of the technique in pediatrics and adolescents with follow up for one year.
Patients and Methods: This is a prospective study of 40 hips in 38 patients with intra articular hip pathology of variable causes. Age of the patients in this study ranged from 12 to 20 years (average 15years and 4months).
cases were: slipped capital femoral epiphysis in 18 cases, femoroacetabular impingement 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(average 15 months).
Results: The overall results in 40 hips that were operated for various indications according to Harris Hip Score were 19 hips excellent results ,11 hips good results ,6 hips fair results and 4 hips poor results.
The average overall change in Harris Hip Score changed from poor score (48.5) preoperatively to good outcome (85.35) postoperatively.

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.

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Zagazig University Medical Journal
Volume 29, Issue 2.1
March and April 2023
Pages 310-314

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