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Results for “HIP DISLOCATION, CONGENITAL”

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At least 1,243 records · Page 69Linked to original sources
PubMed2004

[A comparison between the use of a monolateral external fixator and the Ilizarov technique for pelvic support osteotomies].

OBJECTIVES: We compared the results of monolateral external fixator and the Ilizarov technique for pelvic support osteotomies in the treatment of neglected congenital hip dislocation. METHODS: Seventeen female patients with congenital dislocation of the hip underwent pelvic support osteotomy using a monolateral external fixator (MEF) (n=7; mean age 23.2 years; range 17 to 39 years) or the hybrid advanced Ilizarov method (HAIM) (n=10; mean age 25.9 years; range 17 to 36 years). The mean leg discrepancies, durations of the external fixator, and follow up-periods in the MEF and HAIM groups were as follows, respectively: 5.5 cm and 5.2 cm; 201.5 days (range 185 to 241 days) and 197 days (164 to 248 days); 30.4 months (23 to 39 months) and 40.5 months (21 to 65 months). The two groups were compared with respect to patients' discomfort related to the use of external fixators and pin tract infections classified according to the Paley criteria. RESULTS: Overall, six pins required removal because of grade 3 pin track infections (5 in the HAIM group, 1 in the MEF group). The number of patients who reported extreme discomfort for the use of external fixator was three in the HAIM group and one in the MEF group. Although the range of motion of the knee was similar in both groups (p>0.05), clinically, patients treated with MEF exhibited a more comfortable range of motion of the knee with external fixation and, after removal of the fixator, reached a knee flexion of 90 degrees in a shorter time (36 days versus 47 days). CONCLUSION: The use of MEF for pelvic support osteotomies seems to be preferable because it is associated with a lower rate of pin tract infections and a higher degree of patient comfort.

Adolescent↗
PubMed1984

Avascular necrosis of the femoral heads following bilateral iliopsoas and adductor releases via the medical approach to the hip.

The medial approach to the hip is commonly used for open reduction of a congenitally dislocated hip, and cases of avascular necrosis have been reported following this operation. This approach has also been used for iliopsoas releases, but the complication of avascular necrosis has not been previously reported for this particular procedure. We present a case of bilateral avascular necrosis following bilateral iliopsoas releases in a patient with cerebral palsy. The likely etiology for the avascular necrosis of the hip was disruption of the medial femoral circumflex artery.

Femoral Artery↗
PubMed1980

Congenital dislocation of the hip. The fate of the well-developed acetabulum.

In a previous study of 177 hips treated in infancy for congenital dislocation and followed for 10 to 27 years, all were found to have well-developed acetabula. Nevertheless, there were two cases with minimal arthrotic changes. In this paper, a further study of 107 of these hips, with a follow-up of 15 to 30 years, indicates that the number of hips with arthrotic changes has increased. Attention was given to the fate of the acetabulum in relation to its depth or shallowness as measured by the CE angle. It is concluded that a hip with a slightly shallow acetabulum (CE angle, approximately 20 degrees) is less susceptible to wear or deterioration than a hip with a deeper acetabulum (CE angle, greater than 25 degrees).

Acetabulum↗
PubMed2002

Femoral shortening and cementless arthroplasty in high congenital dislocation of the hip.

We performed cementless total hip arthroplasty with femoral shortening in 28 hips of 23 patients with high-riding congenital dislocation of the hip. All the acetabular cups were placed in their original anatomic location. If needed, the acetabulum was reconstructed using the femoral head. The proximal diaphyseal step-cut shortening osteotomy was performed and stabilized by cerclage or cable grips. The follow-up results at average 48 months postoperatively were scored clinically by the Merle D'Aubigné and Harris hip scores and were good and excellent in 89.2%. One acetabular cup showed progressive radiolucent lines suggesting aseptic loosening. Two superficial wound infections, 1 femoral nerve palsy, 1 sciatic nerve palsy, 2 nonunions, and 1 acetabular fracture were observed during the follow-up.

Adult↗
PubMedDate not supplied

Dynamic ultrasound assessment for monitoring of treatment of congenital dislocation of the hip.

Of the 7,827 babies born in Sheffield between March 1989 and August 1991, a total of 114 (1.4%) who had either clinical abnormality of the hip or high-risk factors for congenital dislocation of the hip (CDH) were examined by ultrasound at birth and at regular intervals. Dynamic ultrasound assessment of both hips was done to diagnose instability and to monitor the treatment. Abnormal findings were recorded in 55 babies at the first visit, and 31 of these subsequently required treatment with the Pavlik harness (3.9 per 1,000). Only one case of late CDH has been seen among the babies who were not examined by ultrasound. There were no cases of avascular necrosis in our series. Dynamic ultrasound examination of high-risk infants' hips is a reliable method of screening for CDH. Monitoring of hips treated with the Pavlik harness, by dynamic ultrasound examination, can identify failure to obtain a concentric reduction, and in such cases, splintage can be abandoned in favour of other modes of treatment. It can, therefore, reduce the chances of overtreatment and its associated complications.

Cohort Studies↗