Safe Surgical Dislocation of the Hip in the Management of Pediatric and Adolescent Hip Problems
algohiny, I., Attia, A., Nasef, M., Eid, A. (2023). Safe Surgical Dislocation of the Hip in the Management of Pediatric and Adolescent Hip Problems. EKB Journal Management System, 29(2.1), 310-314. doi: 10.21608/zumj.2021.55212.2063
ibrahim abdellatif algohiny; Abdallah Attia; Mohamed Hazem Nasef; Abdelsalam Eid. "Safe Surgical Dislocation of the Hip in the Management of Pediatric and Adolescent Hip Problems". EKB Journal Management System, 29, 2.1, 2023, 310-314. doi: 10.21608/zumj.2021.55212.2063
algohiny, I., Attia, A., Nasef, M., Eid, A. (2023). 'Safe Surgical Dislocation of the Hip in the Management of Pediatric and Adolescent Hip Problems', EKB Journal Management System, 29(2.1), pp. 310-314. doi: 10.21608/zumj.2021.55212.2063
algohiny, I., Attia, A., Nasef, M., Eid, A. Safe Surgical Dislocation of the Hip in the Management of Pediatric and Adolescent Hip Problems. EKB Journal Management System, 2023; 29(2.1): 310-314. doi: 10.21608/zumj.2021.55212.2063

Safe Surgical Dislocation of the Hip in the Management of Pediatric and Adolescent Hip Problems

Zagazig University Medical Journal
Article 47, Volume 29, Issue 2.1, March and April 2023, Page 310-314  XML PDF (455.19 K)
Document Type: Original Article
DOI: 10.21608/zumj.2021.55212.2063
View on SCiNiTO View on SCiNiTO
Authors
ibrahim abdellatif algohiny email 1; Abdallah Attia2; Mohamed Hazem Nasef3; Abdelsalam Eid2
1faculty of medicine- orthopedic departement
2orthopedic department ; faculty of medicine ; zagazig university
3Orthopedic department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Abstract
surgical hip dislocation(SHD) allows 360 degrees view of the acetabulum and femoral head without risking femoral head blood supply. This approach has been utilized by many surgeons for correction of abnormalities of the proximal femur with a reported low rate of complications.

Aim of the work: assessing the outcome of the technique in pediatrics and adolescents with follow up for one year.
Patients and Methods: This is a prospective study of 40 hips in 38 patients with intra articular hip pathology of variable causes. Age of the patients in this study ranged from 12 to 20 years (average 15years and 4months).
cases were: slipped capital femoral epiphysis in 18 cases, femoroacetabular impingement in 7 cases, acetabular fracture in 4 cases, femoral head fractures in 3 cases, intraarticular hip lesion in 4 cases and intraarticular loose bodies in 4 cases. All patients were followed-up for a period ranging from 12 months to 18 months(average 15 months).
Results: The overall results in 40 hips that were operated for various indications according to Harris Hip Score were 19 hips excellent results ,11 hips good results ,6 hips fair results and 4 hips poor results.
The average overall change in Harris Hip Score changed from poor score (48.5) preoperatively to good outcome (85.35) postoperatively.

Conclusion: SHD by itself is as a safe and reliable technique that is associated with minimal risk of long term morbidity due to minimal, or no disruption of femoral head circulation if it is performed very carefully.
Keywords
surgical hip dislocation; SCFE; FAI; adolescent hip deformity
Statistics
Article View: 162
PDF Download: 62