Why the study?
Does the modified medial approach improve long-term functional and radiological outcomes in patients with developmental dysplasia of the hip?
Does the modified medial approach improve long-term functional and radiological outcomes in patients with developmental dysplasia of the hip?
The modified medial approach for developmental dysplasia of the hip is safe and effective, yielding good or excellent long-term functional outcomes in 94.1% of cases.
Supports durable hip function after modified medial approach in infants; hypothesis-generating without randomized comparisons.
The objectives of this retrospective study were to evaluate long-term functional and radiological outcomes of 102 dislocated hips of 79 patients treated with the modified medial approach and to compare them with respect to both of our short-term and mid-term outcomes and also with the current literature. The mean age at operation was 11.3±4.3 months (range: 3-18 months), with a minimum follow-up of 15 years (range: 15-23 years). It was determined that 94.1% of mean hip scores were either good or excellent. Avascular necrosis, subluxation/redislocation, and secondary surgeries were 14.8, 6.9, and 7.8%, respectively. We believe this modified procedure requiring no routine arthrotomy is safe and effective.
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Biçimoğlu et al. (2018) studied this question.
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