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lüll The ferguson medial approach for open reduction of developmental dysplasia of the hip A clinical and radiological review of 49 hips Kiely N; Younis U; Day JB; Meadows TMJ Bone Joint Surg Br 2004[Apr]; 86 (3): 430-3The results of the Ferguson medial approach for open reduction of developmental dysplasia of the hip (DDH) were reviewed for 49 hips with a follow-up of more than 48 months. The mean age at operation was 12.3 months (6 to 23). The mean length of clinical and radiological follow-up was 82 months (48 to 148). Three redislocations occurred. Group I avascular necrosis according to the classification of Kalamchi and MacEwen was seen in four hips, group II in two hips and group III in one hip; 92% of the hips were classified as Severin class I and II. The acetabular index and centre edge (CE) angles were within normal limits at final follow-up, but were still significantly different from the unaffected side. We conclude that the Ferguson procedure is safe and reliable for low dislocations in children aged six to 18 months.|Acetabulum/diagnostic imaging[MESH]|Female[MESH]|Femur Head Necrosis/complications/diagnostic imaging[MESH]|Hip Dislocation, Congenital/complications/diagnostic imaging/*surgery[MESH]|Humans[MESH]|Infant[MESH]|Male[MESH]|Orthopedic Procedures/*methods[MESH]|Osteotomy/methods[MESH]|Radiography[MESH]|Recurrence[MESH]|Reoperation[MESH] |