Arthrodesis for disabling hip pain in children and adolescents.
A 9-year follow-up study of patients who had hip fusion for disabling hip pain in childhood suggests that arthrodesis for disabling hip pain in children is effective and well-tolerated. The patients had excellent functional results with return to normal childhood life styles, athletics, and later productive occupations. No patient wanted or needed conversion to a total hip replacement at follow-up. The fused hips adducted progressively until skeletal maturity. The surgeon should make allowances for future adduction in selecting the position of postoperative immobilization-fixation of a child's hip.
D000293:Adolescent; D001170:Arthritis, Infectious / Q000601:surgery; D001174:Arthrodesis; D002370:Casts, Surgical; D002648:Child; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000601:surgery; D006621:Hip Joint / Q000601:surgery; D006801:Humans; D007592:Joint Diseases / Q000628:therapy; D007873:Legg-Calve-Perthes Disease / Q000601:surgery; D010020:Osteonecrosis / Q000601:surgery; D059408:Pain Management; D014394:Tuberculosis, Osteoarticular / Q000601:surgery