Management and reconstruction of developmental dysplasia of the Hip using a newsurgical approach (Modification of smith-peterson surgical approach / Mohamed Taha AbdelFattah ; Supervised Hassan Magdy Elbarbary , Khaled Ahmed Fawaz

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery

In children older than 1 year, achieving a concentrically reduced hip while minimizing complications is more challenging. Bracing, traction, closed reduction, open reduction, and femoral or pelvic osteotomies are frequently used treatment modalities for children aged 1 year to 6 years. [17] Although most often considered for children older than 18 months, an open reduction is indicated for any hip in which a concentric, stable reduction cannot be achieved by closed means. A variety of approaches may be used; the location of the skin incision is of less importance than the elements of the procedure relevant to the acetabulum. If this approach is used in bilateral cases, the procedures are usually staged at 2- to 6-week intervals. [17] The short time of operation, protection of the Lateral cutaneous nerve of the thigh and minimal blood loss during dissection are advantages of this approach over the classic Smith-Peterson approach.There are several anteriorly based approaches. The anterolateral approach, as originally described by Smith and Peterson, utilizes the interval between the Sartorius and the tensor fascia lata

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