Derotational Femoral Shortening for Developmental Dislocation of the Hip: Special Indications and Results in the Child Younger Than 2 Years

Wenger, Dennis R.; Lee, Choon-Sung; Kolman, Brett H.

doi:10.1097/01241398-199511000-00009

Cited by 57 publications

(48 citation statements)

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“…Therefore, the indications for femoral derotational osteotomy remain unclear. Earlier studies reported a common use of derotational osteotomy [140,141] ; however, recent literature does not support this practice [142,143] . It should be noted that all these studies utilized a different system to measure femoral anteversion.…”

Section: Open Reduction and Hip Reconstructionmentioning

confidence: 99%

Developmental dysplasia of the hip: What has changed in the last 20 years?

Kotlarsky

Reuben

Bialik

et al. 2015

WJO

248

244

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Section: Open Reduction and Hip Reconstructionmentioning

confidence: 99%

Developmental dysplasia of the hip: What has changed in the last 20 years?

Kotlarsky

Reuben

Bialik

et al. 2015

WJO

248

244

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“…Favorable coverage of the [3] femoral head was reported to be obtained gradually by shifting the center of the femoral head caudally and medially as well as rotating the distal fragment anterolaterally [4] . The use of femoral shortening has been shown to decrease the complications associated with open reduction, particularly redislocation and AVN [5] . Once the child achieves walking age, treatment becomes more extensive.…”

Section: Review Outcome Of Combined Open Reduction and Femoral Shortementioning

confidence: 99%

“…Preoperative traction decreases technical difficulties during the operation and helps to diminish the length of the excised femoral segment. Open reduction with femoral shortening without preoperative traction was preferred in patients ≥ 3 years, and was associated with lower incidence of avascular necrosis [5,38] . Schoenecker and Strecker [33] reported a 54% incidence of avascular necrosis and a 31% incidence of redislocation after the use of skeletal traction in patients older than 3 years.…”

Section: Preoperative Limb Traction and Femoral Osteotomymentioning

confidence: 99%

“…Although they did not describe their method for assessing femoral anteversion, 85% of the children in their series underwent derotational femoral osteotomy. Wenger et al [5] estimated femoral anteversion by palpating the femoral neck axis in relation to the distal femoral condylar axis and found that femoral anteversion was often increased to 40 to 60 degrees. They usually derotated 30 degrees to avoid potential iatrogenic posterior hip dislocation.…”

Section: Anteversion Of the Femoral Neckmentioning

confidence: 99%

“…Hung [30,5] . Many authors have reported success with a single-stage procedure consisting of open reduction, capsulorrhaphy, femoral shortening, and pelvic osteotomy [31] .…”

mentioning

confidence: 99%

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Review Outcome of Combined Open Reduction and Femoral Shortening Osteotomy for Developmental Dysplasia of the Hip in Children

Hưng¹,

Duc²

2017

International Journal of Orthopaedics

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The fate of inverted limbus in children with developmental dysplasia of the hip: Clinical observation

Liu

Zhou

et al. 2020

Journal Orthopaedic Research

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In this study, we observed the fate of the inverted limbus after closed reduction for the treatment of developmental dysplasia of the hip (DDH) and its impact on acetabular development. Clinical data were reviewed for 26 DDH patients with an inverted or overriding limbus after closed reduction for hip dysplasia. Patients were divided into a residual inversion group (19 cases, 22 hips) and a spontaneous resolution group (7 cases, 7 hips) according to the limbus status at the last follow‐up. Differences in the osseous acetabular index (AI) and cartilaginous AI (CAI), the magnitude of limbus inversion, center‐edge angle (CEA), height‐to‐width index (HWI) of the femoral head epiphysis, and avascular necrosis (AVN) at last follow‐up were compared. There were no statistically significant differences in the preoperative AI and CAI between groups. The magnitude of limbus inversion after reduction and the AI at the final follow‐up in the residual inversion group were both larger than those in the spontaneous resolution group. The CAI, CEA, and HWI were not significantly different between groups. The magnitude of limbus inversion in the residual inversion group did not significantly decrease over time. AVN occurred in five hips in the residual inversion group. No cases of AVN occurred in the spontaneous resolution group. After closed reduction, the inverted limbus was not absorbed in the majority of cases; instead, it evolved into a thin layer of fibrous tissue embedded between the femoral head and acetabulum. This may delay the endochondral ossification of the acetabulum.

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Derotational Femoral Shortening for Developmental Dislocation of the Hip: Special Indications and Results in the Child Younger Than 2 Years

Cited by 57 publications

References 0 publications

Developmental dysplasia of the hip: What has changed in the last 20 years?

Developmental dysplasia of the hip: What has changed in the last 20 years?

Review Outcome of Combined Open Reduction and Femoral Shortening Osteotomy for Developmental Dysplasia of the Hip in Children

The fate of inverted limbus in children with developmental dysplasia of the hip: Clinical observation

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