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العنوان
Surgical Treatment for Congenital Dislocation of the Hip in Children
الناشر
Ahmed Omar Youssef ,
المؤلف
Youssef, Ahmed Omar
هيئة الاعداد
باحث / Ahmed Omar Youssef
مشرف / Hussein Abd El-Salam Nazim
مشرف / Yehia Nour El-Din Tarraf
مشرف / Nady Saleh El-Said
مشرف / Mohamed Fouad Abd El-Latef
الموضوع
Orthopedic Congenital Dislocation of the Hip in Children
تاريخ النشر
2002 .
عدد الصفحات
250 p.
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
أمراض النساء والتوليد
تاريخ الإجازة
1/1/2002
مكان الإجازة
جامعة المنيا - كلية الطب - أمراض النساء والتوليد
الفهرس
Only 14 pages are availabe for public view

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Abstract

Aim of the Work
Evaluation of surgical treatment for congenital dislocation of the hip in children aged from 18 to 48 months, by open reduction and occasionally proximal femoral osteotomy, in El-Minia University Hospital and Cairo University Children’s Hospital.
Conclusions:
1- Inguinal fold assessment was recommended as a useful adjunct to other screening methods for congenital dysplasia of the hip in old infants.
2- Open reduction through the anterolateral approach is an effective method of treatment for congenital hip dislocation in children aged from 18 to 48 months. Provided that there is no soft tissue tension on the femoral head and internal rotation required less than 30 degrees during open reduction.
3- Bikini incision was more cosmetic for the patient and provides the same exposure as iliofemoral incision.
4- Femoral derotation osteotomy (FDO) was done. In those cases as internal rotation more than 30 degrees were needed to maintain the femoral head in the stable zone.
5- Femoral shortening through separate lateral approach was done in these cases due to excessive soft tissue tension and excessive tension on the femoral head after reduction.
6- There is strong correlation between results and the patient age at the time of operation.
7- Asymmetric outcome is a potential risk after surgical treatment of bilateral developmental dysplasia of the hip in children.
8- Bilateral dislocation is a major risk factor for failure of treatment
9- Surgical treatment on the right hip has better outcome than left hip.
10- The prognosis of surgical treatment for developmental dysplasia of the hip was worse in boys than girls.
11- There is strong correlation between development of AVN and the patient age at the time of operation
12- The incidence of AVN was higher with multiple surgical procedures.
13- The earliest sign of AVN may be persisted stiffness of the hip after removal of the plaster.