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Orthopaedic Proceedings
Vol. 96-B, Issue SUPP_1 | Pages 17 - 17
1 Jan 2014
Iqbal H Srivastava P Davies R Saville S Bruce C Garg N
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Aims:

To assess the success rate of closed reduction after failing Pavlik harness for treatment of DDH.

Methods:

It was a retrospective review of prospectively collected data. Patient's notes/computerised records were reviewed. Radiological investigations were also reviewed. Microsoft excel used for descriptive stats.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_11 | Pages 10 - 10
1 Feb 2013
Walton R Martin E Wright D Garg N Bruce C
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Aim

Debate remains over the optimal treatment for severe unstable SCFE. AVN is the principle problem; current thinking suggests this can be minimized by emergent reduction and fixation within 24 hours. If emergent treatment is not possible, open osteotomy with a variable delay of 10–21 days has been advocated. We present our experience of delayed intracapsular cuneiform osteotomy (ICO)

Methods

SCFE cases were identified through ICD-10 coding and theatre records. Unstable slips were identified and reviewed retrospectively. When ICO was performed, the hip was accessed via anterior approach without hip dislocation. A cuneiform shortening osteotomy of the neck with physeal excision was undertaken. The epiphysis was carefully reduced and stabilized with a single screw.