watson jones

ORIF displaced in young

Indications

 

< 60 with good bone stock and preserved joint space

 

Reduction

 

Union rates increased with anatomical reduction

 

Options

- closed reduction

- open reduction / if closed reduction fails

 

Accept

- no varus

- < 15o valgus

- < 10o AP plane

 

Hip

Approaches

 

Anterior

Anterolateral

Lateral

Posterior

Medial

 

Anterior Approach / Smith Peterson

 

Indications

- neonatal hip sepsis

- open reduction hip DDH

 

Techique

 

Position

- supine

- sandbag under buttock

- free drape leg

 

Landmarks