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

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

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

R Ganz,T J Gill,E Gautier,K Ganz,N Krügel,U Berlemann,

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.

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

R Ganz,TJ Gill,E Gautier,K Ganz,N Krügel,U Berlemann,

For similar therapeutics: orthopedic procedures research abstracts see: therapeutics: orthopedic procedures research

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

PUBLICATION TYPE: Journal Article

Journal: The Journal of bone and joint surgery. British vol

VOLUME: 83

Page Numbers: 1119-24

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ISSN: 0301-620X

DAY: 14

MONTH: Nov

YEAR: 2001

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

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LANGUAGE: eng

NlmUniqueID: 375355

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

KEYWORDS: Orthopedic Procedures

MESH TERMS: adverse effects

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

AFFILIATION: Department of Orthopaedic Surgery, University of Bern, Inselspital, Switzerland.

Country: England

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MEDLINETA: J Bone Joint Surg Br

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