ONE-STAGE TREATMENT OF CONGENITAL DISLOCATION OF THE HIP IN OLDER CHILDREN

KARAKAS E., BAKTIR A., ARGUN M., TURK C. Y.

JOURNAL OF PEDIATRIC ORTHOPAEDICS, vol.15, no.3, pp.330-336, 1995 (SCI-Expanded) identifier identifier

Abstract

We reviewed the results of a primary one-stage combined operation in 47 patients (55 hips) who were greater than or equal to 4 years and had congenital dislocation of the hip. At a mean follow-up of 7.5 years (2-16 years), 67% of the whole series had good or excellent clinical results, and 65% were good or excellent radiologically. Avascular necrosis occurred in four patients, and redislocation also occurred in four patients. We concluded that most of the children who are greater than or equal to 4 years and who have congenital dislocation of the hip can successfully be treated with an extensive one-stage operation consisting of open reduction combined with innominate osteotomy and femoral varus, derotation, and shortening osteotomy.

We reviewed the results of a primary one-stage combined operation in 47 patients (55 hips) who were greater than or equal to 4 years and had congenital dislocation of the hip. At a mean follow-up of 7.5 years (2-16 years), 67% of the whole series had good or excellent clinical results, and 65% were good or excellent radiologically. Avascular necrosis occurred in four patients, and redislocation also occurred in four patients. We concluded that most of the children who are greater than or equal to 4 years and who have congenital dislocation of the hip can successfully be treated with an extensive one-stage operation consisting of open reduction combined with innominate osteotomy and femoral varus, derotation, and shortening osteotomy.