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Note:
allied
academies
Joint Event on
Global Women Health 2018 & Orthopedics Congress 2018
Archives of General Internal Medicine
|
ISSN: 2591-7951
|
Volume 2
BREAST CANCER, GYNECOLOGY AND WOMEN HEALTH
ORTHOPEDICS AND RHEUMATOLOGY
&
World Congress on
Annual Conference on
Arch Gen Intern Med 2018, Volume 2 | DOI: 10.4066/2591-7951-C3-009
A MODIFIED STABLE CAPSULORRHAPHY TECHNIQUE IN DEVELOPMENTAL
DYSPLASIA OF THE HIP SURGERIES (DDH)
Mohammed El-Sayed
Tanta University, Egypt
C
apsulorrhaphy is considered as the single most important step in open reduction of developmental dysplasia of the hip (DDH).
In neglected cases of DDH after the walking age, the capsule is adherent to the outer table of the iliac bone and is difficult to be
exposed. Furthermore, in high-riding dislocations, it is not always an easy task to plan and perform an adequate capsulorrhaphy,
especially to decide for the exact location of transverse limb of the classic (T-shaped capsulotomy). We have designed a new
capsulorrhaphy technique, that was performed in 309 DDH hips, whom first presented after the walking age. A minimum period
of two-year follow-up post-operatively was needed for inclusion of the cases in this study. In all, except five hips, a good primary
stabilization and stable concentric reduction during the follow-up period was achieved. Redislocation took place in only five cases.
In four cases a poor family compliance and loss of stabilization of the concentric reduction by destruction of the hip spica led to
early re-dislocation. In only one hip, an excess derotation of the femur led to posterior dislocation. The need for another surgery was
considered a failure and a revision was done. The new technique provided adequate, stable and simple closure of the capsule and
maintained the head at the reduced position without any short-term complications.