A plan of management and treatment results in the arthrogrypotic hip.
In a retrospective review of 52 hips in 26 patients with arthrogryposis, 65% of all hips studied were affected by the disorder; 46.6% of the patients were independent ambulators, 33.3% required some type of bracing for ambulation, and 20% were confined to a wheelchair. Based on the results of the authors' treatment as determined by a functional hip score, the authors recommend a one-stage open reduction, varus shortening femoral derotational osteotomy for all unilateral hip dislocations and those bilateral hip dislocations that have a less severe generalized involvement. They also recommend an aggressive traction program with appropriate soft-tissue releases during the neonatal period for patients with subluxation and/or marked limitation of motion of the hip.
D000293:Adolescent; D000328:Adult; D001176:Arthrogryposis / Q000601:surgery* / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D005260:Female; D006616:Hip Contracture / Q000601:surgery; D006618:Hip Dislocation, Congenital / Q000601:surgery; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D009989:Orthotic Devices; D010027:Osteotomy; D026741:Physical Therapy Modalities; D012189:Retrospective Studies; D014143:Traction