Medial adductor open reduction for congenital dislocation of the hip.
Twenty-two consecutive patients with 26 dislocated hips were evaluated for a mean of 7 years after open reduction through a medial adductor approach. Severin classification of grade I or II and center-edge angles greater than 20 degrees were present in 73% of hips and 88% of patients treated between the ages of 5 and 14 months. Avascular necrosis (AVN) with partial head involvement occurred in 15% of hips and correlated positively with increased age at surgery, but did not preclude a satisfactory Severin classification. Best results were obtained in children treated between the ages of 5 and 14 months.
Castillo
R
R
Department of Orthopaedics and Rehabilitation, University of New Mexico School of Medicine, Albuquerque.
Sherman
F C
FC
D002675:Child, Preschool; D005260:Female; D005271:Femur Head Necrosis / Q000209:etiology; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D008722:Methods; D011183:Postoperative Complications; D011859:Radiography