Early results of medial approach open reduction in congenital dislocation of the hip: use before walking age.
The operative findings and results in our first 40 consecutive open reductions of the congenitally dislocated hip by the medial approach are presented. These were all performed by one surgeon before walking age and, with one exception, all patients were aged less than 11 months at operation. Follow-up was from 2 to 7 years (mean 4.6 years). A vascular necrosis did not occur, but coxa magna and significant acetabular dysplasia were each present in one case. We have not performed any secondary operations.
O'Hara
J N
JN
Royal Orthopaedic Hospital, Birmingham, England.
Bernard
A A
AA
Dwyer
N S
NS
D000367:Age Factors; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D007223:Infant; D007873:Legg-Calve-Perthes Disease / Q000209:etiology; D008124:Locomotion; D008297:Male; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods*; D011182:Postoperative Care; D011859:Radiography