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Hip Medial Approach (Ludloff) - Surgical Anatomy and Technique

Hip Approaches

An 8-month-old infant with bilateral developmental dysplasia of the hip (DDH) is scheduled for open reduction via the medial (Ludloff) approach after failed Pavlik harness treatment. The attending surgeon discusses the anatomical considerations for this approach with the registrar. Regarding the medial approach to the hip in DDH:

Mark each as TRUE or FALSE

A

The medial approach (Ludloff) utilizes the interval between adductor longus (obturator nerve) anteri...

B

The medial circumflex femoral artery (MCFA) is at risk during medial approach; it passes between pec...

C

The medial approach is the preferred approach for DDH in children older than 18 months; it allows co...

D

Key structures identified during medial approach include: adductor longus (superficial), pectineus (...

E

Indications for medial approach include DDH aged 6-18 months after failed Pavlik treatment; contrain...

Answer the questions to see explanations

Click T (True) or F (False) for each option