ArticleJournal of orthopaedic surgery and research2020
Anterior approach with mini-bikini incision in open reduction in infants with developmental dysplasia of the hip.
Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Subjective scar assessment scales in orthopaedic surgery and determinants of patient satisfaction: A systematic review of the literature.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2023Pooled it
- Anterior mini-bikini incision for surgical drainage in pediatric septic arthritis of the hip.Journal of orthopaedic surgery and research · 2026Article
- Minimally-Invasive Dega Osteotomy in Ambulatory Pediatric Patients With Residual Developmental Dysplasia of the Hips-A Technique and Prospective Case Series.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Comparison of clinical and radiological outcomes for the anterior and medial approaches to open reduction in the treatment of bilateral developmental dysplasia of the hip: a systematic review protocol.Systematic reviews · 2024Article
- Research on anterior minimally invasive approach in the treatment of children with developmental dysplasia of the hip.BMC musculoskeletal disorders · 2023Article
- Modified Smith-Petersen approach with rectus-sparing reduces severe avascular necrosis for developmental dysplasia of the hip at walking age: minimum 5-year follow-up.Journal of orthopaedic surgery and research · 2022Article
- Developmental Dysplasia of the Hip: Controversies in Management.Current reviews in musculoskeletal medicine · 2022Review
- Open Reduction with Femoral Shortening, Derotation Osteotomy, and Acetabuloplasty in a Walking Age Developmental Dysplasia of Hip - A Surgical Video Technique.Journal of orthopaedic case reports · 2022Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe anterior and medial approaches in open reduction for developmental dysplasia of the hip (DDH) had been widely used. The former could not directly approach the intra-articular interposition, while the latter had been associated with injury to blood vessel and avascular necrosis (AVN) of the femoral head. Meanwhile, the bikini incision had also been mentioned in some studies. The purpose of this study was to introduce a modified anterior approach through a mini-bikini incision and report its short-term outcomes.
methodsData of DDH patients younger than 2 years at the time of surgery who had received this mini-bikini incision between June 2013 and December 2018 were collected. The surgical technique, operation duration, intraoperative blood loss, and length of incision were recorded in detail. In the latest follow up, the objective measurement of the scar and the subjective feeling towards the scar were collected. X-ray and magnetic resonance imaging (MRI) were performed at the last follow-up, and the incidence of residual dysplasia, redislocation, and femoral head AVN was analyzed.
resultsForty-three cases (49 hips) were included with an averaged follow-up of 43 months. The operation duration was 22 min, and the blood loss was 9.8 ml on average. The length of the scar averaged 2.6 cm. The mean University of North Carolina "4P" scar scale (UNC4P) for the scar was 0.92, and no patients complained numbness. Overall, all the parents were satisfied with the cosmetic appearance. The mean acetabular index (AI) was 27.42° ± 6.41° in dislocated hip in the last follow-up. One hip redislocated soon after the operation and was reduced in a closed manner right away. MRI showed improved coverage but still some residual dysplasia that was in accordance with the post-operative recovery nature. Four hips (8%) had signs of AVN in X-ray.
conclusionOpen reduction through the anterior approach with the mini-bikini incision was a safe procedure with comparable outcomes to classical approaches. It would be a complementary approach for DDH patients younger than 2 years old who need an open reduction.
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