Arthrography-Guided Closed Reduction in CDH

Arthrography-Guided Closed Reduction in CDH - THE ROLE OF...

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THE ROLE OF ARTHOGRAPHY GUIDED CLOSED REDUCTION IN REDUCING THE INCIDENCE OF AVN IN CDH Presented By: Dr.Kholoud Al-Zain Ped. Ortho. Fellow KKUH, Riyadh Dr. K.Khoshhal Ass.Prof. KKUH Dr. M.Zamzam Ass.Prof. KKUH Dr. M.Kremli Prof. KKUH Dr. O.Akod Ortho. S.Reg SFH Published in J Ped. Orthop B 2005 Dr. O.Aloffi Ortho.Reg. KFSH & RS
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INTRODUCTION CDH is common in S.A. AVN is a know major complication of CDH treatment that should be avoided. Aim of the study: Compare incidence of AVN in C.R: Without arthrography, With Arthrography guidance. Relation of type of limbus with incidence of AVN.
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INTRODUCTION AVN
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Hip Arthrogram
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INTRODUCTION Medial adductor approach
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INTRODUCTION Arthrogram
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INTRODUCTION
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INTRODUCTION “L-distance” *
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INTRODUCTION Type of limbus ( Leveuf ): Normal type I, sharp “Rose Thorn” sign. Everted (subluxation pattern) type II Inverted (dislocation pattern) type III
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INTRODUCTION * * *
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INTRODUCTION Unconcentric Concentric
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A prospective study. Jan 1992 – 1996. N = 85 patients. No prior treatment received. All
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Arthrography-Guided Closed Reduction in CDH - THE ROLE OF...

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