MEDIAL ADDUCTOR OPEN REDUCTION FOR CONGENITAL DISLOCATION OF THE HIP

被引:38
作者
CASTILLO, R [1 ]
SHERMAN, FC [1 ]
机构
[1] UNIV NEW MEXICO,SCH MED,DEPT ORTHOPAED & REHABIL,ALBUQUERQUE,NM 87131
关键词
Congenital dislocation; Hip; Medial adductor open reduction;
D O I
10.1097/01241398-199005000-00008
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Twenty-two consecutive patients with 26 dislocated hips were evaluated for a mean of 7 years after open reduction through a medial adductor approach. Severin classification of grade I or II and center-edge angles >20° were present in 73% of hips and 88% of patients treated between the ages of 5 and 14 months. Avascular necrosis (AVN) with partial head involvement occurred in 15% of hips and correlated positively with increased age at surgery, but did not preclude a satisfactory Severin classification. Best results were obtained in children treated between the ages of 5 and 14 months. © 1990 Raven Press, Ltd., New York.
引用
收藏
页码:335 / 340
页数:6
相关论文
共 10 条
[1]  
Ferguson A.B., Primary open reduction of congenital dislocation of the hip using a median adductor approach, J Bone Joint Surg [Am], 55, pp. 671-689, (1973)
[2]  
Kalamchi A., Schmidt T.L., Macewen G.D., Congenital dislocation of the hip, Clin Orthop Rel Res, 169, pp. 127-132, (1982)
[3]  
Mau H., Dorr W.M., Henkel L., Lutsche J., Open reduction of congenital dislocation of the hip by Ludloffs method, J Bone Joint Surg [Am], 53, pp. 1281-1288, (1971)
[4]  
Rouse P.E., Chingren G.L., Klaaren H.E., Broock G., Open reduction for congenital dislocation of the hip using the Ferguson procedure, J Bone Joint Surg [Am], 61, pp. 915-921, (1979)
[5]  
Salter R.B., Kostuik J., Dallas S., Avascular necrosis of the femoral head as a complication of treatment for congenital dislocation of the hip in young children: A clinical and experimental investigation, Can J Surg, 12, pp. 44-60, (1969)
[6]  
Severin E., Contribution to the knowledge of congenital dislocation of the hip joint: Late results of closed reduction and arthrographic studies of recent cases, Acta Chir Scand, 84, (1941)
[7]  
Severin E., Congenital dislocation of the hip: Development of the joint after closed reduction, J Bone Joint Surg [Am], 32, pp. 507-518, (1950)
[8]  
Simon G., A comparative evaluation of the current methods for open reduction of the congenitally displaced hip, Orthop Clin North Am, 11, pp. 161-181, (1980)
[9]  
Staheli L.T., Chew D.E., Elliott J.S., Mosca V.S., Management of hip dislocations in children with arthrogryposis, J Pediatr Orthop, 7, pp. 681-685, (1987)
[10]  
Weinstein S.L., Ponseti I.V., Congenital dislocation of the hip: Open reduction through a medial approach, J Bone Joint Surg [Am], 61, pp. 119-124, (1979)