Failure of Lateral Acetabular Growth 12 Years After Labral Splitting during Anteromedial Open Reduction of the Hip Don’t Do This Case Report

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Stephanie Goldstein
Laura Bellaire
Pamela Lang

Abstract

A number of techniques are described to aid in open reduction for developmental dysplasia of the hip. Radial incision of an obstructive or inverted labrum has been considered as an effective means to “open” the acetabulum to facilitate anteromedial reduction.   We present follow-up of a patient who underwent radial splitting of the labrum via an anteromedial approach at 14 months of age, which resulted in successful reduction of the hip. Twelve-year clinical follow-up reveals significant acetabular dysplasia, likely due to injury to the labrum and underlying secondary centers of ossification of the acetabulum.  We recommend that surgeons use great caution when considering a labral incision or excision during anteromedial open reduction of the hip and consider other means of obtaining a stable reduction.

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Section
Hip & Pelvis