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Open Access 01-12-2023 | Hip Dysplasia | Research

Research on anterior minimally invasive approach in the treatment of children with developmental dysplasia of the hip

Authors: Xiongke Hu, Qian Tan, Haibo Mei, Shasha Mo, Kun Liu

Published in: BMC Musculoskeletal Disorders | Issue 1/2023

Abstract

Objectives

To investigate the clinical efficacy and safety of open reduction through anterior minimally invasive approach in the treatment of children with developmental dysplasia of the hip.

Method

A total of 23 patients (25 hips) less than 2 years with developmental dysplasia of the hip treated by open reduction through anterior minimally invasive approach were treated in our hospital from August 2016 to March 2019. Through the anterior minimally invasive approach, we enter from the gap between sartorius muscle and tensor fasciae lata without cutting off rectus femoris muscle, which can effectively expose the joint capsule and reduce the damage to medial blood vessels and nerves. The operation time, incision length, intraoperative bleeding, hospital stay and surgical complications were observed. The progression of developmental dysplasia of the hip and avascular necrosis of the femoral head were evaluated by imaging examination.

Result

All patients were performed with follow-up visit for an average of 22 months. The average incision length was 2.5 cm, the average operation time was 26 min, the average intraoperative bleeding was 12ml, and the average hospital stay was 4.9 days. All patients received concentric reduction immediately after operation, and no re-dislocation occurred. At the last follow-up visit, the acetabular index was (25.8 ± 6.4°). During the follow-up visit, X-ray showed avascular necrosis of the femoral head in 4 hips (16%).

Conclusion

open reduction through anterior minimally invasive approach can achieve good clinical effect in the treatment of infantile developmental dysplasia of the hip.

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Title: Research on anterior minimally invasive approach in the treatment of children with developmental dysplasia of the hip
Authors: Xiongke Hu
Qian Tan
Haibo Mei
Shasha Mo
Kun Liu
Publication date: 01-12-2023
Publisher: BioMed Central
Keywords: Hip Dysplasia
Incision
Published in: BMC Musculoskeletal Disorders / Issue 1/2023
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-023-06582-9

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Research on anterior minimally invasive approach in the treatment of children with developmental dysplasia of the hip

Abstract

Objectives

Method

Result

Conclusion

Keynote webinar | Spotlight on modern management of frailty

Springer Medicine

Abstract

Objectives

Method

Result

Conclusion

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