{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T05:17:24Z","timestamp":1772255844258,"version":"3.50.1"},"reference-count":26,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,7,21]],"date-time":"2017-07-21T00:00:00Z","timestamp":1500595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective\nTo evaluate the midterm clinical and radiological outcomes of the medial approach using two intervals for developmental hip dysplasia (DDH).\nMethods\nThe study involved 62 hips of 47 patients (41 girls, 6 boys) treated with medial approach for DDH from 1999 to 2010. The age of the patients at surgery was 18.7 \u00b1 2.25 months. Follow up of the patients was 11.3 \u00b1 3.07 years. The age of the patients at the last follow up was 12.6 \u00b1 1.74 years. According to the T\u00f6nnis classification, 13 hips were grade II, 27 hips were grade III and 22 hips were grade IV. Patients were evaluated according to Omeroglu radiological criteria and modified McKay functional criteria. The presence of avascular necrosis (AVN) of the hip was questioned using the KalamchiMacEwen classification.\nResults\nRadiologically, forty eight (77%) hips were evaluated as \u201cexcellent\u201d, 8 (13%) hips as \u201cgood\u201d and 5 (8%) hips as \u201cfair plus\u201d and 1 (%2) hip as \u201cfair minus\u201d. Two (3%) patients had type 1 temporary AVN and one (1%) patient had type 4 AVN with coxa magna and overgrowth of the greater trochanter. According to McKay functional criteria, 56 (90%) hips had \u201cexcellent\u201d and 6 (10%) had \u201cgood\u201d results. Two (3.2%) hips of one patient had to be reoperated with Salter osteotomy and femoral shortening + derotation osteotomy.\nConclusion\nMedial approach using two separate intervals for tenotomy and capsulotomy does not jeopardize the medial circumflex or the femoral vessels and yields satisfactory midterm results for children 18 months old with dysplasia of the hip.\nLevel of evidence\nLevel IV, therapeutic study.\nER -\n\nKeywords\n\n\n\tDevelopmental hip dysplasia\n\tSafety\n\tAvascular necrosis of the femoral head\n\tMedial approach\n\tSurgical approach<\/jats:p>","DOI":"10.1016\/j.aott.2018.01.006","type":"journal-article","created":{"date-parts":[[2018,2,14]],"date-time":"2018-02-14T19:58:07Z","timestamp":1518638287000},"page":"81-86","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Radiological and clinical outcomes of medial approach open reduction by using two intervals in developmental dysplasia of the hip"],"prefix":"10.5152","volume":"52","author":[{"given":"Afsar","family":"T. OZKUT","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuf","family":"IYET\u0130N","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omer","family":"K. UNAL","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Salih SOYLEMEZ","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esat","family":"UYGUR","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irfan","family":"ESENKAYA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"key":"10.1016\/j.aott.2018.01.006_bib1","first-page":"272","article-title":"Zur blutigen Einrenkung der angeborenen Huftluxation","volume":"22","author":"Ludloff","year":"1908","journal-title":"Z\u00a0Orthop Chir"},{"issue":"3","key":"10.1016\/j.aott.2018.01.006_bib2","first-page":"438","article-title":"The open reduction of the congenital hip dislocation by an anterior incision","volume":"210","author":"Ludloff","year":"1913","journal-title":"Am J Orthop Surg"},{"key":"10.1016\/j.aott.2018.01.006_bib3","doi-asserted-by":"crossref","first-page":"67l","DOI":"10.2106\/00004623-197355040-00001","article-title":"Primary open reduction of congenital dislocation of the hip using a medial adductor approach","volume":"55","author":"Ferguson","year":"1973","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"1","key":"10.1016\/j.aott.2018.01.006_bib4","doi-asserted-by":"crossref","first-page":"119","DOI":"10.2106\/00004623-197961010-00021","article-title":"Congenital dislocation of the hip. Open reduction through a medial approach","volume":"61","author":"Weinstein","year":"1979","journal-title":"J\u00a0Bone Joint Am"},{"issue":"1","key":"10.1016\/j.aott.2018.01.006_bib5","first-page":"31","article-title":"Surgical treatment of hip dysplasia through the medial approach","volume":"41","author":"Tumer","year":"2007","journal-title":"Acta Orthop Traumatol Turc"},{"issue":"9","key":"10.1016\/j.aott.2018.01.006_bib6","doi-asserted-by":"crossref","first-page":"1334","DOI":"10.2106\/00004623-199309000-00008","article-title":"Open reduction through a medial approach for congenital dislocation of the hip. 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Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}