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Updated: Aug 10, 2026

In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
Published on: July 2, 2021
Congenital dislocation of the hip
Open reduction surgery using a medial approach effectively treated congenital hip dislocations in infants, showing good acetabular development and a low rate of aseptic necrosis.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Developmental Orthopedics
Background:
- Congenital hip dislocation (CHD) requires effective surgical intervention.
- The medial approach for open reduction is a recognized surgical technique.
Purpose of the Study:
- To evaluate the outcomes of open reduction for congenital hip dislocation using a medial approach.
- To assess acetabular development and the incidence of aseptic necrosis post-surgery.
Main Methods:
- Seventeen patients with 22 congenital hip dislocations underwent open reduction via a medial approach.
- Follow-up averaged 42.2 months, with evaluations of acetabular index and aseptic necrosis.
Main Results:
- The incidence of aseptic necrosis was 10%.
- Acetabular index showed rapid improvement in the first year, with continued progress throughout the study period.
Conclusions:
- The medial approach is a safe and effective method for open reduction of infantile hip dislocations.
- This surgical technique is recommended when closed reduction is unsuccessful or cannot be maintained.
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