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The First Open Reconstruction

 

The first open reconstruction of the ligamentum capitis femoris (LCF) was performed in 1926 by Ernest William Hey Groves (1872-1944) (1927Hey-GrovesEW). The surgery was proposed for the treatment of congenital hip dislocation in children. Later, in 1928, regarding this pathology, he noted: «Congential dislocation of the hip is a deformity which is mysterious in its origin, insidious in its course and relentless in its final crippling results» (quoted from 1983RatliffAH). In the early 20th century, a pioneer in orthopedic surgery realized that the LCF played a crucial role in the development of this pathology and developed a technique for its reconstruction.

Illustration:

Open reconstruction of the LCF in congenital hip dislocation.

Copies of drawings from 1927Hey-GrovesEW with our additions; arrows indicate the reconstructed LCF.

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REFERENCES

Hey Groves EW. Some contribution to the Reconstructive surgery of the hip. Brit. J. Surg. July 1926 - April 1927;14(55)486-517. [sciencedirect.com]

Ratliff AH. Ernest William Hey Groves and his contributions to orthopaedic surgery. Annals of the Royal College of Surgeons of England. 1983;65:203-6. [ncbi.nlm.nih.gov(PDF)]

keywords: ligamentum capitis femoris, ligament of head of femur, ligamentum teres, hip joint, hip, reconstruction

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