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Research on anterior minimally invasive approach in the treatment of children with developmental dysplasia of the hip
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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10262519/ https://www.ncbi.nlm.nih.gov/pubmed/37312176 http://dx.doi.org/10.1186/s12891-023-06582-9 |
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author | Hu, Xiongke Tan, Qian Mei, Haibo Mo, Shasha Liu, Kun |
author_facet | Hu, Xiongke Tan, Qian Mei, Haibo Mo, Shasha Liu, Kun |
author_sort | Hu, Xiongke |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10262519 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-102625192023-06-15 Research on anterior minimally invasive approach in the treatment of children with developmental dysplasia of the hip Hu, Xiongke Tan, Qian Mei, Haibo Mo, Shasha Liu, Kun BMC Musculoskelet Disord Research 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. BioMed Central 2023-06-13 /pmc/articles/PMC10262519/ /pubmed/37312176 http://dx.doi.org/10.1186/s12891-023-06582-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Hu, Xiongke Tan, Qian Mei, Haibo Mo, Shasha Liu, Kun Research on anterior minimally invasive approach in the treatment of children with developmental dysplasia of the hip |
title | Research on anterior minimally invasive approach in the treatment of children with developmental dysplasia of the hip |
title_full | Research on anterior minimally invasive approach in the treatment of children with developmental dysplasia of the hip |
title_fullStr | Research on anterior minimally invasive approach in the treatment of children with developmental dysplasia of the hip |
title_full_unstemmed | Research on anterior minimally invasive approach in the treatment of children with developmental dysplasia of the hip |
title_short | Research on anterior minimally invasive approach in the treatment of children with developmental dysplasia of the hip |
title_sort | research on anterior minimally invasive approach in the treatment of children with developmental dysplasia of the hip |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10262519/ https://www.ncbi.nlm.nih.gov/pubmed/37312176 http://dx.doi.org/10.1186/s12891-023-06582-9 |
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