Systematic Review on Intra articular Hip Osteotomies in Adolescents

Abstract

In our study we believe the surgical dislocation approach can be used effectively to treat different causes of pediatric hip deformity and improve symptoms in the short term. The risk of complications increased with the complexity of the reconstruction, such as when surgical dislocation is combined with concomitant osteotomy for more severe deformity and hence should be applied judiciously. Our data suggest the intra articular hip osteotomies through the surgical dislocation approach can be performed with low complication rates. We believe the techniques are most appropriate for moderate to severe SCFE , unstable SCFE , perhtes disease , perthes like deformities and proximal femoral head deformities. The safe execution of this procedures require full understanding of the vascular anatomy of the hip by the surgeon. This procedures restore the proximal femoral anatomy and although we do not have long-term results, we assume restoration of normal anatomy which lead to good long-term outcomes.