Medial open reduction in the treatment of developmental dislocation of the hip

Tumer Y., Ward W., Grudziak J.

JOURNAL OF PEDIATRIC ORTHOPAEDICS, vol.17, no.2, pp.176-180, 1997 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 17 Issue: 2
  • Publication Date: 1997
  • Doi Number: 10.1097/00004694-199703000-00008
  • Journal Name: JOURNAL OF PEDIATRIC ORTHOPAEDICS
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.176-180
  • Keywords: congenital dislocation of the hip, developmental dislocation of the hip, dislocation, Ferguson, Ludloff, medial open reduction, CONGENITAL DISLOCATION, ACETABULUM
  • Ankara University Affiliated: No

Abstract

Fifty-six developmentally dislocated hips occurring in 37 children with an average age of 11.2 months (range, 2-25) underwent medial open reduction without preliminary traction by Ferguson's approach. Follow-up averaged 8.1 years (range, 3-17). Ninety-eight percent of hips were rated either excellent or good at final follow-up (Severin I or II). Eleven (19%) hips required secondary bony reconstructive procedures. Five (8.9%) hips demonstrated evidence of avascular necrosis. The authors conclude that medial open reduction is a safe and effective surgical treatment for developmental dislocation of the hip in the child young than 2 years.