Surgical management of the problematic hip in adolescent and young adult patients.

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Abstract

[Indexed for MEDLINE] 20. Oper Orthop Traumatol. 2022 Oct;34(5):352-360. doi: 10.1007/s00064-022-00780-9. Epub 2022 Aug 5. Surgical hip dislocation with relative femoral neck lengthening and retinacular soft-tissue flap for sequela of Legg-Calve-Perthes disease. Leibold CS(1), Vuillemin N(2), Büchler L(2), Siebenrock KA(2), Steppacher SD(2). Author information: (1)Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Freiburgstr. 18, 3010, Bern, Switzerland. christianesylvia.leibold@insel.ch. (2)Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Freiburgstr. 18, 3010, Bern, Switzerland. OBJECTIVE: Correction of post-LCP (Legg-Calve-Perthes) morphology using surgical hip dislocation with retinacular flap and relative femoral neck lengthening for impingent correction reduces the risk of early arthritis and improves the survival of the native hip joint. INDICATIONS: Typical post-LCP deformity with external and internal hip impingement due to aspherical enlarged femoral head and shortened femoral neck with high riding trochanter major without advanced osteoarthritis (Tönnis classification ≤ 1) in the younger patient (age