Successful treatment of high congenital dislocated hips in older children by open reduction, pelvic and femoral osteotomy with external fixator stabilization (average 8.2 years of age).
A new technique using a hinged external fixator to stabilize an open reduction with pelvic and femoral osteotomies has been developed for treating high-dislocated hips in older children with developmental dislocated hip (DDH). This technique was performed in 11 patients (12 hips) at a mean age of 8.2 years. At follow up, radiographic results showed no redislocation/subluxation and clinical results demonstrated 11 hips as excellent/good and only one hip as poor from persistent stiffness. In conclusion, this new technique produces acceptable results in the treatment of older children with high dislocation of the hip from DDH.
Inan
Muharrem
M
Orthopaedic Department, Inonu University Medical Faculty, Malatya, Turkey. minan@inonu.edu.tr
Harma
Ahmet
A
Ertem
Kadir
K
Germen
Burak
B
Bowen
Richard J
RJ
D002648:Child; D002675:Child, Preschool; D016267:External Fixators; D005260:Female; D005269:Femur / Q000601:surgery*; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006621:Hip Joint / Q000601:surgery; D006801:Humans; D008297:Male; D010027:Osteotomy; D010388:Pelvis / Q000601:surgery*; D011859:Radiography; D016896:Treatment Outcome