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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 1, 113-118.
doi: 10.1302/0301-620X.91B1.21429  
Copyright © 2009 by British Editorial Society of Bone and Joint Surgery
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One-stage bilateral open reduction through a medial approach in developmental dysplasia of the hip

M. M. Zamzam, MD, MSc, Associate Professor, Consultant Orthopaedic Surgeon1; K. I. Khosshal, FRCS(Ed), Assistant Professor, Consultant Orthopaedic Surgeon2; A. A. Abak, Arab Board Orthopaedic Specialization (ABOS), Consultant Orthopaedic Surgeon1; K. A. Bakarman, ABOS, Assistant Professor, Consultant Orthopaedic Surgeon1; A. M. M. AlSiddiky, Saudi Specialisation Certificate in Orthopaedics (SSC)-Ortho, Assistant Professor and Consultant Orthopaedic Surgeon1; K. O. AlZain, SSC-Ortho, Consultant Orthopaedic Surgeon1; and M. K. Kremli, FRCS(Glas), Professor, Consultant Orthopaedic Surgeon1

1 Department of Orthopaedics College of Medicine and King Khalid University Hospital, P. O. Box 7805, Riyadh 11472, Saudi Arabia.
2 King Fahad Medical City, Surgical Department, PO Box 59046, Riyadh 11525, Saudi Arabia.

Correspondence should be sent to Professor M. M. Zamzam; e-mail: mmzamzam{at}yahoo.com

The outcome of one-stage bilateral open reduction through a medial approach for the treatment of developmental dysplasia of the hip in children under 18 months was studied in 23 children, 18 girls and five boys. Their mean age at operation was 10.1 months (6 to 17) and the mean follow-up was 5.4 years (3 to 8).

Acceptable clinical and radiological results were achieved in 44 (95.7%) and 43 (93.5%) of 46 hips, respectively. Excellent results were significantly evident in patients younger than 12 months, those who did not require acetabuloplasty, those whose ossific nucleus had appeared, and in those who did not develop avascular necrosis.

One-stage bilateral medial open reduction avoids the need for separate procedures on the hips and has the advantages of accelerated management and shorter immobilisation and rehabilitation than staged operations.




eLetters:

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Our experience with open reduction in the treatment of DDH in not at all encouraging!
Zoran S. Vukasinovic, et al.
J Bone Joint Surg Br Online, 14 Jan 2009 [Full text]
Author's reply:
Mohammed M Zamzam
J Bone Joint Surg Br Online, 22 Jan 2009 [Full text]

(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General