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Mini-anterior approach for surgical reduction of developmental dysplasia of the hip: a case series
Faculty
Medicine
Year:
2021
Type of Publication:
ZU Hosted
Pages:
Authors:
Ahmed Mohamed Abdelwahab Elsayed Elemem
Staff Zu Site
Abstract In Staff Site
Journal:
Current Orthopaedic Practice Wolters Kluwer Health
Volume:
Keywords :
Mini-anterior approach , surgical reduction of developmental dysplasia
Abstract:
ABSTRACT Background: Our hypothesis was that the mini-anterior approach gives adequate exposure with satisfactory result in patients with developmental dysplasia of the hip. Methods: Twenty-three hips in 20 patients who had developmental dysplasia of the hip (18 girls and two boys) underwent surgical reduction using the mini-anterior approach. The incision extended from a point about 1 cm below and medial to the anterior iliac superior spine obliquely to a point about 1 cm lateral to the femoral pulsation. The average patient age at the time of surgery was 15 mo. Results: Clinical results were evaluated according to the modified McKay criteria and the cosmetic appearance of the wound. Excellent wound cosmetic appearance was present in all patients. Twenty-two hips (95.7%) were rated clinically as excellent to good, whereas only one hip was rated as fair. According to radiographic Severin grading, 20 hips (86.4%) were rated as excellent to good and only three hips (13.6%) were rated as fair. Conclusions: The mini-anterior approach can be used safely in patients with dysplasia of the hip who are younger than 20 mo with adequate exposure and minimal soft-tissue dissection. Level of Evidence: Level IV. Key Words developmental dysplasia of the hip, mini-anterior approach, Smith Peterson approach
Author Related Publications
Ahmed Mohamed Abdelwahab Elsayed Elemem, "The triangle tilt procedure for treatment of secondary shoulder deformities in obstetric brachial plexus injury", www.orthopaper.com, 2018
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Ahmed Mohamed Abdelwahab Elsayed Elemem, "Management of Blount s disease by external fixator", Zagazig University, 2015
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Ahmed Mohamed Abdelwahab Elsayed Elemem, "V-Shaped Corrective Ulnar Osteotomy in Neglected Monteggia Fracture Dislocation in Children", OMICS, 2017
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Ahmed Mohamed Abdelwahab Elsayed Elemem, "Percutaneous reduction and fixation of intraarticular calcaneal fractures: a series with 2-year follow-up", Wolters Kluwer Health, 2018
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Ahmed Mohamed Abdelwahab Elsayed Elemem, "Treatment of severe early-onset Blount’s disease by simultaneous medial hemiplateau elevation and metaphyseal osteotomy using the Ilizarov fixator", www.orthopaper.com, 2018
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Department Related Publications
Mohamed Anwar Abdel Haleem, "التهاب العصبى للعصب ما فوق عظمة اللوح نتيجة لاختناق العصب من مجراة ", لايوجد, 1900
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Mohamed Anwar Abdel Haleem, "التصوير المغناطيسي من رسم مفصل الركبة في حالات اصابة الغضروف الهلالي ", لايوجد, 1900
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Abdelsalam Eid Abdelsalam, "Dorsal closing wedge osteotomy for the treatment of Freiberg's infarction. The short term results of 11 patients.", Faculty of Medicine, Zagazig University, Egypt, 2005
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Abdelsalam Eid Abdelsalam, "A peculiar periprosthetic humeral fracture managed in a simple but effective way", Medknow publications, WKH, 2012
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Ahmed Altonsy Abdulsamie, "Anterior Cruciat ligament Reconstruction Using Hamstring Tendons With Femoral Cross-Pin And tibial Screw/Sheath Fixation", The Egyptian Orthopedic Journal –, 2009
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