Teres ligament transposition of the anterior aspect  of the acetabulum in developmental dysplasia  of the hip in patients of 12  to 21 months old.  Presenting a new treatment option

Miguel Olalde Hernández; Jaime Milán Nava; Guadalupe Itzamar Avilés Ocampo; Marissa Anaid Silva García

2015, Number 1

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Rev Mex Ortop Ped 2015; 17 (1)

Teres ligament transposition of the anterior aspect of the acetabulum in developmental dysplasia of the hip in patients of 12 to 21 months old. Presenting a new treatment option

Olalde HM, Milán NJ, Avilés OGI, Silva GMA

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Language: Spanish
References: 22
Page: 27-32
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ABSTRACT

Background: Developmental dysplasia of the hip is an ancient disease; in the fourth century BC, Hippocrates in his «Corpus hipocraticum» made the first descriptions of atraumatic dislocation of the hip. Objective: Show to the world of pediatric orthopedics a new method of containment by surgery in a patient with developmental dysplasia of the hip. Material and methods: Prospective longitudinal analytical of 7 patients whose ages range from 12 months (1), 15 months (1), 18 months (2), 19 months (1), 20 months (1) and 21 months (1), which were evaluated with the classification of Tonnis. All patients underwent open reduction by Ludloff-Ferguson approach. Results: In 6 patients (85.7%) the results were good achieving a concentric centering, a slipped capital femoral epiphysis as a complication for an exaggerated traction in 1 patient (14.3%). Discussion: Transposition technique teres ligament to the anterior face of the acetabulum is good for the treatment of DDC in patients 12 months to 21 months. Conclusions: It was possible to correction of acetabular and femoral components of developmental dysplasia of the hip in patients 12 months to 21 months with a mean of 18 months.

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