One-stage treatment of congenital severely dislocated hips in older children through various acetabuloplasty techniques: 22 children followed for 1-5 years.

Abstract

BACKGROUND:

There is no consensus regarding the best treatment for children with late diagnosis of congenital hip dislocation.

PATIENTS AND METHODS:

This retrospective study involved 29 hips in 22 children (19 girls) with an age range of 3-14 years, who had been operated with various techniques for congenital hip dislocation between 1998 and 2002. 6 patients had right, 9 patients had left, and 7 patients had bilateral congenital hip dislocation. The mean length of follow-up was 3 (1-5) years.

RESULTS:

While the mean acetabular index was 53 degrees (35-65) preoperatively, at the last follow-up it was 30 degrees (15-50). 27 hips were type 4 and 2 hips were type 3 by Tönnis criteria. Satisfactory reduction (Severin Class I) had been achieved in 19 hips at the follow-up radiography, and they developed no osteonecrosis. The outcome was successful in children under 7 years of age, but problems encountered in those over 7 increased unless sufficient reduction had been achieved.

INTERPRETATION:

Age at treatment of late-diagnosed congenital hip dislocation appears to be important for outcome.

• Authors: Metin Dogan, Murat Bozkurt, Hakan Sesen, Hasan Yildirim
• Journal: Acta orthopaedica (Acta Orthop) Vol. 76 Issue 2 Pg. 212-9 (Apr 2005) ISSN: 1745-3674 [Print] Sweden
• PMID: 16097546 (Publication Type: Journal Article)

Topics

• Acetabulum (diagnostic imaging, pathology, surgery)
• Adolescent
• Child
• Child, Preschool
• Female
• Follow-Up Studies
• Hip Dislocation, Congenital (diagnostic imaging, pathology, surgery)
• Hip Joint (diagnostic imaging, pathology)
• Humans
• Male
• Orthopedic Procedures (methods)
• Radiography
• Retrospective Studies
• Treatment Outcome