Treatment of congenital dysplasia-subluxation of the hip in children under one year of age.
A retrospective review of 128 cases of dysplasia-subluxation of the hip in 123 patients seen and initially treated under 1 year of age was conducted to determine the incidence of avascular necrosis and its potential relationship to treatment. Not a single case of avascular necrosis was uncovered utilizing a semi-rigid Ilfeld splint. In view of this finding, the beneficial effects of treating rather than observing every case of dysplasia-subluxation of the hip are discussed and viewed in contrast with the potential adverse sequelae of with-holding treatment, specifically as it relates to development of late diagnosis of congenital dislocation of the hip and premature osteoarthritis of the hip.
D005260:Female; D005271:Femur Head Necrosis / Q000453:epidemiology / Q000209:etiology; D006618:Hip Dislocation, Congenital / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies; D013165:Splints