Surgical dislocation of the hip without trochanteric osteotomy

• Main Authors: Daniel Schweitzer, Ianiv Klaber, Tomás Zamora, Pedro Pablo Amenábar, Eduardo Botello
• Format: Article
• Language: English
• Published: SAGE Publishing 2017-01-01
• Series: Journal of Orthopaedic Surgery
• Online Access: https://doi.org/10.1177/2309499016684414

Background: Surgical dislocation of the hip remains an important alternative in hip preservation surgery, especially when a dynamic access to the hip is needed and arthroscopy is not a suitable option. We describe a novel technique for operative dislocation of the hip without trochanteric osteotomy and the clinical results of our patients. Methods: Surgical dislocation of the hip without trochanteric osteotomy was done through a modified lateral approach in all of the cases. A review of demographic, clinical, and radiological data was done in all of the patients operated with this technique between 2010 and 2015. Complications, walking aids, weight-bearing status, and modified Harris Hip Score (mHHS) were also recorded. Results: Six surgical dislocations of the hip were carried out. Indications were tumor resection in five and bulletectomy in one hip. There were two women (four hips) and two men. Mean age was 19 ± 3.8 years. Median follow-up was 2.5 years (range 2–4.5 years). Median mHHS was 92 (90–96). There were no intraoperative nor postoperative complications. Conclusions: Surgical dislocation of the hip without trochanteric osteotomy through a modified lateral approach appears to be a safe, simpler, and effective alternative.