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[Incidence of congenital hip dislocation in 40,243 live births (I)].

During the period between 1981 to 1985, 40,243 children have been born. Among these children, 1,747 suffered from dysplasia, subluxation or dislocation of the hip. In this paper the following parameters are examined: frequency, sex, the hip affected and the order of birth. Dislocation of the hip is more frequent in females with a ratio of 5.3 to 1. The hip more frequently affected is the left. Fifty percent of the children affected are first-born. In this study we want to emphasize the importance of a thorough explanation of the newborn, due to the frequency of the affection and especially its greater frequency in female and its predominance in the left hip.

Hip Dislocation, Congenital↗

Treatment of congenital hip dislocation by muscle release, skeletal traction and closed reduction in older children.

A method of treatment of congenital hip dislocation by preliminary multiple muscle releases around the hip, followed by skeletal traction, is employed for closed reduction and immobilization with long leg cast. In 29 hips treated during the period from 1961 to 1972, the results justify the method for treatment of children 3 to 11 years of age with neglected high posterior congenital hip dislocations. The main prerequisite for the procedure is a fairly well-developed acetabulum.

Casts, Surgical↗

The Pavlik harness for congenital dislocated hips.

The use of the Pavlik harness for treatment of congenital dislocated hips was begun at The University of Texas Medical Branch at Galveston, Texas, in August 1973. A method for rapid measurement and construction was subsequently developed. Data on length of use and case studies are presented.

Hip Dislocation, Congenital↗

Complex infantile and congenital hip dislocation: assessment with MR imaging.

Twenty-five magnetic resonance hip studies were performed on 19 infants with congenital hip dislocation. These patients had a poor initial treatment response, a teratologic dislocation, or a late presentation. Detailed images of single hips obtained with small surface coils resulted in excellent visualization of all the clinically important soft-tissue and cartilaginous structures of the hip. No other imaging modality demonstrates all of these structures simultaneously.

Acetabulum↗

[Experience with open reduction of congenital hip dislocation by the Ludloff method].

The authors have performed simple open reduction of congenital dislocation of the hip after Ludloff in 54 children aged 3 months to 3 years. The total number of the operated joints was 79. The authors believe that this method provides favourable development of the acetabulum in the children operated before 1-2 years of age with the initial acetabular index below 30-40 degrees. In the children aged 2-3 years it should be regarded as one of the stages in the treatment of congenital dislocation of the hip.

Acetabulum↗

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.

Child↗

[Treatment of unstable dislocated hip in infancy and early childhood using the modified Fettweis method].

We report on our experiences with the application of cast immobilisation in the human position according to Fettweis in order to treat unstable luxations of the hip joint of infants. Stability of the joint was achieved and marked degrees of acetabular dysplasia were brought to cure in about 80% of the cases. However, based on this analysis, remaining instability or lasting dysplasia of the hip joint have to be anticipated in about 10% of the cases. The use of sonography in diagnostics let expect more progress in therapy for the future.

Casts, Surgical↗