Hipercrescimento femoral no tratamento cirúrgico do quadril displásico inveterado

Abstract

Citation: Moura JPFM, Radaeli RF, Carrazone OL, Dobashi ET, Milani C, Ishida A. Femoral 80.00 mm). The mean follow-up time was 10 years and 2 months (range: 2 years and 3 months to 18 years) and we noticed a mean femoral discrepancy of 13.48mm (range: 0.00 mm to 60.00 mm) using plain scanning images. Results: All patients evolved to femoral overgrowth; in 18 cases (54.6%), the leg length discrepancy found was <30 mm, 11 (33.3%) showed no LLD, and 4 (12.1%) presented with a discrepancy >30mm. Conclusion: We noticed a significantly decreased discrepancy of femurs after surgical treatment when compared to the measurements obtained during outpatient follow-up.

Acetabular development after open reduction to treat developmental dysplasia of the hip after walking age

“…[6] Previously, it was recommended that femoral shortening should always be performed for complete dislocation of the hip as a singlestage procedure to avoid future intervention. [19,20] This onestage approach has been criticized for being too aggressive and avoidance of femoral shortening by the adoption of an individualized approach will not only decrease the operating time, blood loss, and hospital stay [5,6] but also circumvents the need for a follow-up surgery for removing the hardware. [6,7] Moreover, if such a femur shortening procedure is performed, which was not warranted in the first place, in that case, this could inadvertently reduce the soft-tissue tension in the area surrounding the joint, thereby increasing the risk of re-dislocation.…”

“…[4] This combined single-stage approach is not only a cumbersome procedure but is also associated with several complications. [5] Being an extensive and technically demanding procedure, the combined single-stage procedure is considered more suitable for "high" dislocation and "older" children that are more likely to benefit from a shortening of the femur. [6,7] On the contrary, these claims lack consensus.…”