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Clinical and radiological outcomes following surgical hip dislocation for paediatric hip pathologies, a prospective cohort study.
Ahern, Shane; O'Sullivan, Michael D; Clesham, Kevin; Wade, Anna; Meleady, Elizabeth; Green, Connor.
Afiliação
  • Ahern S; Children's University Hospital, Temple St, Rotunda, Dublin 1, D01 XD99, Ireland.
  • O'Sullivan MD; Children's University Hospital, Temple St, Rotunda, Dublin 1, D01 XD99, Ireland; Cappagh Kids, National Orthopaedic Hospital Cappagh, Cappagh Rd, Cappoge, Dublin 11, D11 EV29 Ireland. Electronic address: michaelosullivan86@gmail.com.
  • Clesham K; Children's University Hospital, Temple St, Rotunda, Dublin 1, D01 XD99, Ireland; Cappagh Kids, National Orthopaedic Hospital Cappagh, Cappagh Rd, Cappoge, Dublin 11, D11 EV29 Ireland.
  • Wade A; Cappagh Kids, National Orthopaedic Hospital Cappagh, Cappagh Rd, Cappoge, Dublin 11, D11 EV29 Ireland.
  • Meleady E; Cappagh Kids, National Orthopaedic Hospital Cappagh, Cappagh Rd, Cappoge, Dublin 11, D11 EV29 Ireland.
  • Green C; Children's University Hospital, Temple St, Rotunda, Dublin 1, D01 XD99, Ireland; Cappagh Kids, National Orthopaedic Hospital Cappagh, Cappagh Rd, Cappoge, Dublin 11, D11 EV29 Ireland; UCD School of Medicine, University College Dublin, Belfield, Dublin 4 Ireland.
Surgeon ; 21(3): 198-202, 2023 Jun.
Article em En | MEDLINE | ID: mdl-36307306
BACKGROUND: Surgical Hip Dislocation (SHD) is a powerful tool in the armamentarium of any surgeon treating conditions affecting the hips of children presenting with sequelae of a number of common conditions including Legg-CalvéPerthes disease (LCPD) and slipped capital femoral epiphysis (SCFE). Risks associated with the procedure are well described. We investigated to assess if SHD is associated with significant surgical risk and if it improved clinical outcomes for patients. METHODS: We conducted a prospective cohort study. We reviewed 18 (11 males and 7 females; mean age 13.7 years (6-17) with symptomatic hip pathology, secondary to femoroacetabular impingement (FAI) between 2017 and 2021. All patients underwent a surgical hip dislocation approach and femoral head-neck osteochondroplasty, Head Split osteotomy or both. Clinical improvement was assessed using the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index. The minimum follow-up was 6 months (mean, 22 months; range, 6-42 months). RESULTS: WOMAC scores improved at final follow-up from 10 to 3 for pain, 33 to 10 for function, and 4 to 2 for the stiffness subscales. All radiographic measures improved significantly of the postoperative X-rays. No patients developed osteonecrosis, implant failure, deep infection, or nonunion. CONCLUSION: Surgical Hip Dislocation, in the short term, we found improvement in WOMAC scores and radiographic indices with a low complication rate.
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Texto completo: 1 Coleções: 01-internacional Temas: Geral Base de dados: MEDLINE Assunto principal: Impacto Femoroacetabular / Escorregamento das Epífises Proximais do Fêmur / Luxação do Quadril Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Surgeon Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Irlanda

Texto completo: 1 Coleções: 01-internacional Temas: Geral Base de dados: MEDLINE Assunto principal: Impacto Femoroacetabular / Escorregamento das Epífises Proximais do Fêmur / Luxação do Quadril Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Surgeon Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Irlanda