Strategy to treat bilateral hip dislocations in arthrogryposis ...

1. Strategy to treat bilateral hip dislocations in arthrogryposis multiplex congenita -open reduction including circumferential capsulotomy and iliopsoas transfer using extensive anterolateral approach- Asahigawa ryouikuen, Japan Kiyoshi Aoki, Hirofumi Akazawa, Takumi Nasu Sachiko Goto, Ko Oda Okayama university, Japan Shigeru Mitani, Hirosuke Endo

3. Patients Case Sex Age at Previous Age at Follow-up Additional 1st Visit Treatment Surgery Period Surgery 1 F 10d RB R:3y0m 28y10m - L:2y4m 29y6m - 2 F 4y - R:4y9m 21y6m Shortening osteotomy L:5y4m 20y11m Shortening osteotomy 3 M 8m RB/ R:2y6m 15y4m Salter/DVO OHT L:1y7m 16y3m DVO 4 M 14d RB R:1y5m 16y8m - L:1y11m 16y2m - 5 F 2m RB R:2y0m 18y1m - L:1y5m 18y8m -

4. Our method (1)

5. Our method (2)

6. Results Case Sex Side Walking Brace Severin 1 F R Independent KAFO IIa L KAFO IIa 2 F R Independent AFO IIb L AFO IIa 3 M R Independent - IVb L - IIb 4 M R Independent - Ia L - Ia 5 F R Independent AFO IIa L AFO III

7. Case 1

8. Case 2

9. Case 4

10. Conclusions We believe that our open reduction method including circumferential capsulotomy and iliopsoas transfer using extensive anterolateral approach could be one of the useful strategies to treat bilateral hip dislocations in AMC.