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ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2013, Number 1

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Rev Mex Ortop Ped 2013; 15 (1)

The Operative Management of the Developmentally Dislocated Hip: Surgical Technique, Optimizing Outcomes and Long-Term Results

Kelley SP, Bradley CS, Wedge JH

Language: Spanish
References: 13
Page: 32-39
PDF size: 250.30 Kb.


ABSTRACT

The surgical management of the developmentally dislocated hip is technically demanding. The concepts described by Dr. Salter are presented, as is the current protocol used in The Hospital for Sick Children in Toronto for the management of these patients. The technique and indications for closed reduction, open reduction and innominate osteotomy are presented. The current strategies that have been implemented to optimize the results are presented, with the intention of reducing the rate of redislocation and avascular necrosis. The results at 45 years of follow-up from Salter’s original series have been reported and show a survival rate of the hip at 30 years of 99%, at 40 years of 86% and at 45 years of 54%. The success of the primary procedure is related to the best long term result.


REFERENCES

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