Long-term results after Colonna's operation.
A long-term review of 82 patients (117 hips) who had Colonna's operation for congenital dislocation of the hip has been carried out. Although early assessments had shown a high proportion of good results these deteriorated with time. At our latest review of 61 hips, with an average follow-up of 30 years, 34% had moderate, and 66% severe, osteoarthrosis; many of these patients now need a total hip replacement. We conclude that Colonna's operation is only indicated in a small number of cases. It should never be carried out over the age of 6 years, and only in younger children when there is severe underdevelopment of the acetabulum or where procedures which preserve the articular cartilage are unlikely to be successful.
Szulc
W
W
Department of Orthopaedic Surgery, Medical Academy, Warsaw, Poland.
D002675:Child, Preschool; D004838:Epiphyses / Q000000981:diagnostic imaging; D005270:Femur Head / Q000000981:diagnostic imaging; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D009336:Necrosis; D015207:Osteoarthritis, Hip / Q000000981:diagnostic imaging / Q000453:epidemiology; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000453:epidemiology*; D011859:Radiography