Author/Authors :
HEGAZY, MOHAMED M. Cairo University - Al-Helal Hospital, Faculty of Medicine - Department of Orthopaedic Surgery, Egypt , EL-SAYD, MOHAMED F. Cairo University - Al-Helal Hospital, Faculty of Medicine - Department of Orthopaedic Surgery, Egypt , WANIS, YAMEN M. Cairo University - Al-Helal Hospital, Faculty of Medicine - Department of Orthopaedic Surgery, Egypt , ABO EL-MAGD, HATEM M. Cairo University - Al-Helal Hospital, Faculty of Medicine - Department of Orthopaedic Surgery, Egypt , ADS, TAMER Cairo University - Al-Helal Hospital, Faculty of Medicine - Department of Orthopaedic Surgery, Egypt , EL-HUSSEINY, MOHAMED Cairo University - Al-Helal Hospital, Faculty of Medicine - Department of Orthopaedic Surgery, Egypt , ABD EL-MOHSEN, RAMY Cairo University - Al-Helal Hospital, Faculty of Medicine - Department of Orthopaedic Surgery, Egypt , TALAT, HOSSAM Cairo University - Al-Helal Hospital, Faculty of Medicine - Department of Orthopaedic Surgery, Egypt , EL-HAWARY, MOHAMED O. Cairo University - Al-Helal Hospital, Faculty of Medicine - Department of Orthopaedic Surgery, Egypt , MAHMOUD, MOUSTAFA Cairo University - Al-Helal Hospital, Faculty of Medicine - Department of Orthopaedic Surgery, Egypt , MOUSSA, MOHAMMED A. Cairo University - Al-Helal Hospital, Faculty of Medicine - Department of Orthopaedic Surgery, Egypt
Abstract :
Introduction: The ultimate aim of treatment of DDH is to obtain a stable concentric reduction at the earliest possible age. This however must not be achieved at the expense of inducing avascular necrosis in the femoral head, which clearly is the main risk factor of intervention.Aim of the Work: To discuss the results of open reduction in cases of developmental dysplasia of hip using a new approach called subsartorial approach.Patients and Methods: The study was performed on 17 cases (20 hips with DDH), all cases were surgically managed by open reduction of hip joint through subsartorial approach.Results: All the patients were followed up clinically with the modified McKay criteria and radiologically by the Severin s radiological grading.Conclusion: Subsartorial approach is a reliable approach for open reduction in DDH cases that are below 2 years with neither history of pervious operation in their hips nor history of paralytic dislocation.
