{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:23:21Z","timestamp":1787808201443,"version":"build-2784847793"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2005,5,1]],"date-time":"2005-05-01T00:00:00Z","timestamp":1114905600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2005,5,1]],"date-time":"2005-05-01T00:00:00Z","timestamp":1114905600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2005,5,1]],"date-time":"2005-05-01T00:00:00Z","timestamp":1114905600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2005,5,1]],"date-time":"2005-05-01T00:00:00Z","timestamp":1114905600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2005,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Treatment of developmental dislocation of the hip (DDH) includes surgical management in older children or in those who cannot be treated conservatively. However, complication rates of surgical treatment are quite high. The purpose of this report is to introduce our new surgical technique that can eliminate existing pathologic changes in DDH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Type of Study<\/jats:title>\n                    <jats:p>A small case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed arthroscopic\u2010assisted surgical treatment in 4 hips of 4 female children who had DDH and no previous treatment. Their ages ranged from 11 to 14 months. Closed reduction under general anesthesia was tried just before the surgical intervention, but it failed in all of them. Tightness of the iliopsoas tendon was released followed by dissection of capsular adhesions using an anterolateral mini\u2010incision. Excision of the hypertrophic ligamentum teres, transverse acetabular ligament, and pulvinar tissue was carried out using a double\u2010portal arthroscopic procedure. We performed percutaneus adductor tenotomies in 2 cases. A spica cast and abduction splint were used for 12 to 17 weeks postoperatively. The follow\u2010up of the patients was a minimum of 1 year. Although a 1\u2010year follow\u2010up period is adequate to evaluate the short\u2010term results, it has been considered that there is a need for further studies that include long\u2010term follow\u2010up. We used the acetabular index and Shenton's line for preoperative and postoperative radiologic evaluation. Also, the cases were evaluated postoperatively in respect to range of motion restriction and the leg length discrepancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean follow\u2010up was 13.7 months (range, 12 to 16 months). Acetabular index measurements of the cases in the preoperative\/postoperative periods were as follows: in the first case, 34\u00b0\/27\u00b0; in the second case, 35\u00b0\/22\u00b0; in the third case, 52\u00b0\/39\u00b0; and in the fourth case, 40\u00b0\/28\u00b0. Hip joint restriction and leg length discrepancy were not observed postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>All the intra\u2010articular structures (hypertrophic ligamentum teres, transverse acetabular ligament, and pulvinar tissue) in the acetabulum that impede the reduction of the femoral head have been eliminated by using the arthroscopic technique. The arthroscopic\u2010assisted surgical treatment of DDH is successful in the short\u2010term follow\u2010up period. Level of Evidence: Level IV, Case Series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2005.01.004","type":"journal-article","created":{"date-parts":[[2005,5,20]],"date-time":"2005-05-20T09:21:17Z","timestamp":1116580877000},"page":"574-579","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":39,"title":["Arthroscopic\u2010Assisted Surgical Treatment for Developmental Dislocation of the Hip"],"prefix":"10.1002","volume":"21","author":[{"given":"Okay","family":"Bulut","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology Cumhuriyet University Faculty of Medicine Sivas Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayati","family":"\u00d6zt\u00fcrk","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Cumhuriyet University Faculty of Medicine Sivas Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fcnd\u00fcz","family":"Tezeren","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Cumhuriyet University Faculty of Medicine Sivas Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sema","family":"Bulut","sequence":"additional","affiliation":[{"name":"Department of Radiology Cumhuriyet University Faculty of Medicine Sivas Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,5,1]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199706000-00002"},{"key":"e_1_2_3_3_1","doi-asserted-by":"crossref","first-page":"624","DOI":"10.2106\/00004623-199274040-00019","article-title":"Current concepts review. Reduction of congenital dislocation of the hip","volume":"74","author":"Gabudze B.M.","year":"1992","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198712000-00007"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197658070-00017"},{"key":"e_1_2_3_6_1","first-page":"387","volume-title":"Orthopaedic knowledge update. Home study syllabus AAOS No. 7","author":"Millis M.B.","year":"2002"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)31502-9"},{"issue":"1","key":"e_1_2_3_8_1","first-page":"3","article-title":"Arthroscopy of the hip in congenital dislocation","volume":"77","author":"Hasan H.A.R.","year":"1995","journal-title":"J Bone Joint Surg Br"},{"key":"e_1_2_3_9_1","first-page":"321","author":"Sugiyama H.","year":"2002","journal-title":"Application of arthroscopic surgery for congenital dislocation of the hip. Presented at the Meeting of the American Academy of Orthopaedic Surgeons"},{"key":"e_1_2_3_10_1","first-page":"1","article-title":"Primary open reduction of developmental dislocation of the hip through medial approach","volume":"29","author":"Zorer G.","year":"1995","journal-title":"Acta Orthop Traumatol Turc"},{"key":"e_1_2_3_11_1","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1007\/s001320050071","article-title":"Open reduction technique","volume":"26","author":"Hefti F.","year":"1997","journal-title":"Orthopade"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.78B6.0780924"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199703000-00008"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198209000-00016"},{"key":"e_1_2_3_15_1","series-title":"Campbell's operative orthopaedics","first-page":"2159","volume-title":"Congenital anomalies of hip and pelvis","author":"Beaty J.H.","year":"1992"},{"key":"e_1_2_3_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00395803"},{"key":"e_1_2_3_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199005000-00008"},{"key":"e_1_2_3_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199209000-00007"},{"key":"e_1_2_3_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199009000-00006"},{"key":"e_1_2_3_20_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.64B2.7068735"},{"key":"e_1_2_3_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198702000-00042"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806305000423?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806305000423?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2005.01.004","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2005.01.004","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2005.01.004","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:20:17Z","timestamp":1773566417000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2005.01.004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,5]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2005,5]]}},"alternative-id":["10.1016\/j.arthro.2005.01.004"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2005.01.004","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Arthroscopic-Assisted Surgical Treatment for Developmental Dislocation of the Hip","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2005.01.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2005 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}