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Results for “HIP DISLOCATION”

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At least 1,189 records · Page 66Linked to original sources
PubMed1994

Avascular necrosis following traumatic hip dislocation in an 8-year-old boy.

Avascular necrosis of the femoral head as a complication of a hip location that is caused by minor trauma and is promptly reduced is uncommon in young children. The incidence appears to be from 3% to 6% if reduction is performed within the first 4 h. However, if it does occur, a significant incidence of degenerative joint disease should be anticipated in the patient's later life. As a possible way of surgical treatment, an intertrochanteric and periacetabular osteotomy should be considered to minimise sequelae. Follow-up must be continued until skeletal maturity is reached.

Child↗
PubMed1991

[Changes in the osteoarticular system after completion of the treatment of congenital hip dislocation in children and adolescents].

There have been analyzed the results of the treatment of congenital femur dislocation in 189 children. It has been stated that the results of treatment are in direct relation with the timely commencement of treatment, dysplasia expression of pelvic and femur components, adequacy of the treatment methods to the pathology nature, observation of the orthopedics regimen and rehabilitation treatment. There have been detected the group of children, in which in spite of the treatment applied in total accordance with the rules of orthopedics, have been noticed the changes of the degenerative-dystrophic nature both on the side of dislocation and in the remote parts of skeleton. The obtained data are to be taken into consideration for vocational orientation of adolescents and at the stage of dispensary observation in order to compile the plans of rehabilitation treatment.

Adolescent↗
PubMed1990

[General therapeutic indications in congenital hip dislocation in adults].

The author discusses all the elements which should be considered in the decision for surgical treatment of CDH in adults: precise evaluation of the dysplasia, age of the patient, significance of the secondary osteoarthritis and good knowledge of the results of the proposed operation. After a shelf operation there are good results in 85% of the cases for an average of 13 years. After varisation osteotomy with a good joint for a femoral, acetabular or combined displacement, in patients aged 30 years or less, the results are good in 95% of the cases for 20 years. Varisation osteotomy, combined with a shelf procedure, increases the efficacity of the operation, especially in cases of major dysplasia of the acetabulum. There are good results in 97% of hips without osteoarthritis for more or less 20 years. The results of valgisation osteotomy are most disappointing after more than 10 years, with bad results in 50% of the cases. The Chiari osteotomy gives good results early, but after 10 years the fraction of good results drops to only 66% and there is a further decrease in the efficacity after 12 years. The peri-acetabular osteotomy of Ganz is a very logical operation, but the follow-up is too short and the technique is not easy. Total hip replacement is still indicated in many cases; there should be a very thorough preoperative evaluation, and the positioning of the cup should allow for the acetabular dysplasia.

Acetabulum↗
PubMedDate not supplied

[Early therapy of congenital hip dislocation and ultrasonic studies of clinically positive cases--results of a prospective epidemiological study in Brünn].

The early diagnosis of CDH in CSFR an in other countries is discussed from different views. To our opinion only the orthopaedic surgeons are able to ensure the high sensitivity and specificity of the clinical tests. In the Brno-prospective epidemiologic study we have examined 19,879 neonates. The frequency of dislocation and instability was 368 cases (18%). The early treatment with Frejka pillow or Pavlik harness has failed only in one case. The systematic second (6 weeks) and third examination (3 months) discovered 19 late diagnosed cases (0.95%). In the era of conventional diagnosis the usual frequency of CDH in CSFR was 20-30%. The ultrasonographic examination of all neonates is not yet possible in our country; we have examined only clinically positive cases.

Czechoslovakia↗
PubMedDate not supplied

[Ultrasound control of the repositioning of hip dislocation in a child in the unstable phase of splint retention (Hanausek position)].

In CDH ultrasound control of reduction in the unstable period of the first 3 months has to be performed by an inguinal access, as the splint can not be removed for the reason of high risks of redislocation. Controls are possible whenever required, according to anglo-american techniques. Thus treatment within the first year of life may be controlled by ultrasound imaging alone. Criteria for detection of posterior and cranial redislocation as well as for the anterior positioning of the femoral head are given.

Follow-Up Studies↗
PubMedDate not supplied

[Arthrography in congenital hip dislocation].

The paper is concerned with the results of contrast arthrography in 73 children with hip joint dysplasia, among which true dislocations prevailed (70 patients). In addition to bone alterations, arthrography revealed various soft tissue changes like hypertrophy and deformity of limbus, soft tissue interposition, separation of the articular sac with the presence of an isthmus, disintegration of articular cartilages. These findings are used to define indications for surgical intervention as well as for planning the area of operation.

Arthrography↗