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01-10-2009 | Original Paper

Long-term outcome of Ludloff’s medial approach for open reduction of developmental dislocation of the hip in relation to the age at operation

Authors: Kunihiko Okano, Kenji Yamada, Katsuro Takahashi, Hiroshi Enomoto, Makoto Osaki, Hiroyuki Shindo

Published in: International Orthopaedics | Issue 5/2009

Abstract

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.

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Title: Long-term outcome of Ludloff’s medial approach for open reduction of developmental dislocation of the hip in relation to the age at operation
Authors: Kunihiko Okano
Kenji Yamada
Katsuro Takahashi
Hiroshi Enomoto
Makoto Osaki
Hiroyuki Shindo
Publication date: 01-10-2009
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 5/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-009-0800-7

At a glance: The STEP trials

Springer Medicine

Long-term outcome of Ludloff’s medial approach for open reduction of developmental dislocation of the hip in relation to the age at operation

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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