Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis.

Details

Serval ID
serval:BIB_DF844845188C
Type
Article: article from journal or magazin.
Collection
Publications
Title
Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis.
Journal
Journal of Bone and Joint Surgery. British Volume
Author(s)
Ganz R., Gill T.J., Gautier E., Ganz K., Krügel N., Berlemann U.
ISSN
0301-620X (Print)
ISSN-L
0301-620X
Publication state
Published
Issued date
2001
Volume
83
Number
8
Pages
1119-1124
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
Surgical dislocation of the hip is rarely undertaken. The potential danger to the vascularity of the femoral head has been emphasised, but there is little information as to how this danger can be avoided. We describe a technique for operative dislocation of the hip, based on detailed anatomical studies of the blood supply. It combines aspects of approaches which have been reported previously and consists of an anterior dislocation through a posterior approach with a 'trochanteric flip' osteotomy. The external rotator muscles are not divided and the medial femoral circumflex artery is protected by the intact obturator externus. We report our experience using this approach in 213 hips over a period of seven years and include 19 patients who underwent simultaneous intertrochanteric osteotomy. The perfusion of the femoral head was verified intraoperatively and, to date, none has subsequently developed avascular necrosis. There is little morbidity associated with the technique and it allows the treatment of a variety of conditions, which may not respond well to other methods including arthroscopy. Surgical dislocation gives new insight into the pathogenesis of some hip disorders and the possibility of preserving the hip with techniques such as transplantation of cartilage.
Keywords
Adolescent, Adult, Female, Femur Head/blood supply, Hip/surgery, Humans, Male, Middle Aged, Orthopedic Procedures/adverse effects
Pubmed
Web of science
Create date
26/11/2012 19:13
Last modification date
20/08/2019 16:03
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