A novel anterior approach to pediatric dysplastic hip surgeries

Abstract

During surgery for developmental dysplasia of the hip, the anterior approach utilizing the Smith-Peterson interval between tensor fascia lata and sartorius is often used. Exploration of the deep acetabulum is sometimes difficult and cumbersome. We have devised a more direct approach to the hip that improves the exploration of the deep acetabulum by going medial to the sartorius between it and the iliacus. We have found this approach quite useful and easy to master without any added complication.