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Related Experiment Video

Updated: Oct 7, 2025

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Video Technique on Medial Open Reduction for DDH.

Premal Naik^1,2

¹Rainbow Superspeciality Hospital and Children's Orthopaedic Centre, Next To Asia School, Behind HDFC Bank, Opposite Drive in Cinema, Bodakdev, Ahmedabad, Gujarat 380 054 India.

Indian Journal of Orthopaedics

|January 10, 2022

Summary

The medial approach for developmental dysplasia of the hip (DDH) offers a safe and effective alternative to the anterolateral approach, with good cosmetic outcomes and low re-dislocation rates. This technique is particularly useful in young children and those with arthrogrypotic hip dislocations.

Keywords:

Arthrogrypotic DDH DDH Ligamentum teres tenodesis Ludloff approach Medial open reduction

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In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy

In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy

Published on: July 2, 2021

Area of Science:

Orthopedic surgery
Pediatric orthopedics

Background:

Developmental dysplasia of the hip (DDH) is commonly treated with the anterolateral approach.
The medial approach for DDH has gained significant interest due to its advantages.

Purpose of the Study:

To evaluate the medial approach for open reduction of DDH.
To demonstrate its efficacy in accessing structures blocking femoral head reduction.
To highlight the cosmetic benefits of a small groin incision.

Main Methods:

The study demonstrates the classical Ludloff medial approach and the anteromedial modification.
It includes a technical modification involving tenodesis of the ligamentum teres for improved stability.
The video showcases the medial approach for open reduction in a pediatric patient.

Main Results:

The medial approach is safe, with a low rate of re-dislocation and preservation of hip abductors.
Potential disadvantages include a restricted operative field and a higher rate of avascular necrosis (AVN).
Many studies report AVN rates comparable to other approaches, with milder grades and good long-term outcomes.

Conclusions:

The medial approach is highly effective for children with DDH before walking and for arthrogrypotic hip dislocations.
It provides a useful alternative surgical option for specific pediatric hip conditions.