الفهرس 
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Abstract
Introduction: Surgical hip dislocation has been successfully used in the management of pediatric and adolescents hip diseases. The purpose of this study is to evaluate the clinical and radiographic outcomes of the SDH approach in adolescent and young adults with various causes of intra articular hip pathology.
Patients and Methods: Forty patients have been managed through the SDH approach in this prospective study. Age of the patients ranged 12.2 to 45 years with a mean age of 22.6 years. Surgical procedures included modified Dunn’s osteotomy for slipped capital femoral epiphysis in 15 patients, OCP and RFNL for Perthes disease deformity in 7 patients, OCP FOR primary FAI in 5 patients, Labrum repair with RAO in five patients with hip dysplasia and labrum pathology, ORIF for acetabular and femoral head fractures in five patients. Other miscellaneous cases included femoroplasty for HME, debridement and synovectomy in chronic hip sepsis and basal femoral neck varus osteotomy for coxa valga.
Results: After a mean follow up of 29.3 months (range 12.2-53.1 months), the mean Oxford hip score has been improved from 43.4 preoperatively to 24.8 postoperatively. All the patients who did not develop complications have improvement in their clinical symptoms and radiographic outcomes. There were five cases of femoral head AVN, one case of incomplete sciatic nerve palsy, two cases of Brooker class 3 HO, two cases of persistent trochanteric bursitis, one case of progressive OA and one case of severe hip instability.
Conclusion: The SDH approach is a safe surgical technique that helped in the management of various hip pathology. The development of complications, however is related to the complexity of over added surgery after SDH, surgeon experience and the severity of preoperative hip deformity.
Key words: Surgical Hip Dislocation; Ganz; SCFE, Modified Dunn’s Procedure; Hip Deformity; Complications.