Abstract
Ludloff's approach was described for open reduction of congenital dislocation of the hip. We describe the preoperative planning and the surgical procedure for removing an osteochondroma in the lesser trochanter performed by an anteromedial approach. At follow-up, the patient was asymptomatic and had no limitations in his hip motion, with no radiological relapse. This approach can be used without complications, avoiding more aggressive approaches that force to dislocate the hip and lead to sacrifice more soft tissues.
References
Keats S, Morgese AN (1967) A simple anteromedial approach to the lesser trochanter of the femur for the release of the iliopsoas tendon. J Bone Joint Surg Am 49:632–636
Zamzam MM, Khosshal KI, Abak AA et al (2009) One-stage bilateral open reduction through a medial approach in developmental dysplasia of the hip. J Bone Joint Surg Br 91:113–118
Koizumi W, Moriya H, Tsuchiya K et al (1996) Ludloff's medial approach for open reduction of congenital dislocation of the hip. A 20-year follow-up. J Bone Joint Surg Br 78:924–929
Tumer Y, Bicimoglu A, Agus H (2007) Surgical treatment of hip dysplasia through the medial approach. Acta Orthop Traumatol Turc 41(Suppl 1):31–36
Mankey MG, Arntz GT, Staheli LT (1993) Open reduction through a medial approach for congenital dislocation of the hip. A critical review of the Ludloff approach in sixty-six hips. J Bone Joint Surg Am 75:1334–1345
Okano K, Enomoto H, Osaki M, Takahashi K, Shindo H (2008) Femoral head deformity after open reduction by Ludloff's medial approach. Clin Orthop Relat Res 466:2507–2512
Siebenrock KA, Ganz R (2002) Osteochondroma of the femoral neck. Clin Orthop Relat Res (394):211–218
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Chana-Rodríguez, F., López-Capapé, D., Rojo-Manaute, J. et al. Ludloff approach for osteochondroma in the lesser trochanter in a young middle-distance runner. Eur Orthop Traumatol 2, 83–85 (2011). https://doi.org/10.1007/s12570-011-0068-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12570-011-0068-4