[First-choice orthopedic treatment in congenital hip dislocations discovered after walking age].
The incidence of late discovery of congenital dislocation of the hip is getting lower, thanks to systematic screening. We have treated 14 children during the past 5 years. Clinical diagnosis was confirmed by radiography. Thirteen children were treated by slow reduction, and immobilization according to Somerville-Petit's method. Four surgical treatments were performed (1 Klisic operation by first intention, 3 Salter operations by second intention). Good clinical results have not always correlated with radiologic normalization. These results were evaluated by Séverin's classification: 9 excellent or good (I or II), 4 poor results (III). Although improvement is expected in the future, repeated clinical and radiological supervision permits evaluation of the indications for a subsequent operation at the most favorable time.
Chevalier
J
J
Clinique Chirurgicale Pédiatrique, Faculté Libre de Médecine, Lille, France.
Cordonnier
D
D
Vinchon
B
B
Bayart
M
M
D000367:Age Factors; D001915:Braces; D002370:Casts, Surgical; D002648:Child; D002675:Child, Preschool; D005260:Female; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D006801:Humans; D007223:Infant; D008297:Male; D010027:Osteotomy; D011859:Radiography; D014143:Traction
Primauté du traitement orthopédique dans les luxations congénitales de hanche découvertes après l'âge de la marche.