One-stage treatment of congenital dislocation of the hip in older children.
We reviewed the results of a primary one-stage combined operation in 47 patients (55 hips) who were > or = 4 years and had congenital dislocation of the hip. At a mean follow-up of 7.5 years (2-16 years), 67% of the whole series had good or excellent clinical results, and 65% were good or excellent radiologically. Avascular necrosis occurred in four patients, and redislocation also occurred in four patients. We concluded that most of the children who are > or = 4 years and who have congenital dislocation of the hip can successfully be treated with an extensive one-stage operation consisting of open reduction combined with innominate osteotomy and femoral varus, derotation, and shortening osteotomy.
Karakaş
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ES
Department of Orthopaedics and Traumatology, Erciyes University, School of Medicine Research and Training Hospital, Kayseri, Turkey.
Baktir
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A
Argün
M
M
Türk
C Y
CY
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D009985:Orthopedics / Q000379:methods; D011183:Postoperative Complications; D011859:Radiography; D016896:Treatment Outcome