An Unusual Complication Seen in a Six-Year-Old Girl Treated with Open Reduction and Pemberton Osteotomy for Neglected Developmental Dysplasia of the Hip : A Femoral Neck Fracture Sustained during Passive Motion under General Anesthesia
Joint Authors
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-05-26
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Despite the screening programs for newborn children with hip ultrasonography, neglected developmental dysplasia of the hip (DDH) is still continuing to be a problem in the east and southeast parts of our country.
The main complications are redislocation, avascular necrosis, and joint stiffness.
We present an unusual complication, femoral neck fracture during passive motion under general anesthesia, of a six-year-old girl with neglected DDH treated by open reduction and Pemberton osteotomy without femoral shortening.
The fracture was treated by open reduction and internal fixation combined with proximal femoral shortening.
After 5 years the patient had excellent clinical results, no avascular necrosis was seen, and the radiologic appearance was type IA according to modified Severin classification.
In conclusion older children with neglected DDH are more likely to have joint stiffness after open reduction.
If there is even a little doubt about joint stiffness after open reduction, one should not refrain from femoral shortening.
Also passive motion under general anesthesia should be applied very carefully with fluoroscopic control.
American Psychological Association (APA)
Uruc, Vedat& Karabulut, Samet. 2014. An Unusual Complication Seen in a Six-Year-Old Girl Treated with Open Reduction and Pemberton Osteotomy for Neglected Developmental Dysplasia of the Hip : A Femoral Neck Fracture Sustained during Passive Motion under General Anesthesia. Case Reports in Orthopedics،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-499355
Modern Language Association (MLA)
Uruc, Vedat& Karabulut, Samet. An Unusual Complication Seen in a Six-Year-Old Girl Treated with Open Reduction and Pemberton Osteotomy for Neglected Developmental Dysplasia of the Hip : A Femoral Neck Fracture Sustained during Passive Motion under General Anesthesia. Case Reports in Orthopedics No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-499355
American Medical Association (AMA)
Uruc, Vedat& Karabulut, Samet. An Unusual Complication Seen in a Six-Year-Old Girl Treated with Open Reduction and Pemberton Osteotomy for Neglected Developmental Dysplasia of the Hip : A Femoral Neck Fracture Sustained during Passive Motion under General Anesthesia. Case Reports in Orthopedics. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-499355
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-499355