Case Study: Paediatric #Hip

Comments

1. Tayeb says

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   Slipped more than 60 degree required an Osteotomey
   Im hauser One of the choices. Prophylactic Fixation in situ for the other hip

2. taral nagda says

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   This is a severe unstable slip
   Need to work up for endocrinological and metabolic causes
   if it is redused even with a gentle closed reduction and fixed there are high chances of AVN 30 to 50 % This is primarily because of kinking of MCF vessel by posterior callus
   If oinned in situ AVN can be avoided but it leads to femoro acetabular impingement and a deformity which will not remodel
   My choice is to do safe surgical dislocation of hip using Ganz approach do modified dunn procedure to correct femoral hrad alignment by shortening and excision of callus and fix with a cancellous screw

3. ADMIN says

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