Medial open reduction in the treatment of developmental dislocation of the hip.
Fifty-six developmentally dislocated hips occurring in 37 children with an average age of 11.2 months (range, 2-25) underwent medial open reduction without preliminary traction by Ferguson's approach. Follow-up averaged 8.1 years (range, 3-17). Ninety-eight percent of hips were rated either excellent or good at final follow-up (Severin I or II). Eleven (19%) hips required secondary bony reconstructive procedures. Five (8.9%) hips demonstrated evidence of avascular necrosis. The authors conclude that medial open reduction is a safe and effective surgical treatment for developmental dislocation of the hip in the child younger than 2 years.
Tumer
Y
Y
Ankara Medical Faculty Hospital, Turkey.
Ward
W T
WT
Grudziak
J
J
D002675:Child, Preschool; D005260:Female; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000502:physiology; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D016059:Range of Motion, Articular; D012086:Reoperation; D013514:Surgical Procedures, Operative / Q000379:methods