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

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Okano, Kunihiko Yamada, Kenji Takahashi, Katsuro Enomoto, Hiroshi Osaki, Makoto Shindo, Hiroyuki
Description	Country affiliation: Japan Author Affiliation: Okano K ( Department of Orthopaedic Surgery, Nagasaki Medical Center, 2-1001-1 Kubara, Omura, 852-8562, Japan. kunidon@wm.pdx.ne.jp)
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.
File Format	HTM / HTML
ISSN	03412695
e-ISSN	14325195
DOI	10.1007/s00264-009-0800-7
Journal	International Orthopaedics
Issue Number	5
Volume Number	33
Language	English
Publisher	Springer
Publisher Date	2009-10-01
Publisher Place	Germany
Access Restriction	Open
Subject Keyword	Discipline Orthopedics Femur Head Necrosis Surgery Hip Dislocation, Congenital Osteotomy Child, Preschool Etiology Complications Physiopathology Hip Joint Pathology Infant Adverse Effects Postoperative Complications Radiography Retrospective Studies Evaluation Studies
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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