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Congenital dislocation of the hip
Journal article   Peer reviewed

Congenital dislocation of the hip

S L Weinstein and I V Ponseti
Journal of bone and joint surgery. American volume, Vol.61(1), pp.119-124
01/1979
DOI: 10.2106/00004623-197961010-00021
PMID: 759421

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Abstract

From January 1970 to December 1976, seventeen patients with twenty-two congenital hip dislocations were treated by open reduction through a medial approach. The average follow-up was 42.2 months. The patients were evaluated for acetabular development, aseptic necrosis, and intraoperative findings. The incidence of aseptic necrosis was 10 per cent. The acetabular index improved rapidly during the first year after reduction. After the first year the rate of development was decreased, but the acetabular index continued to improve throughout the period of study. The medial approach provides a safe, effective way to reduce a dislocated hip in infancy. This procedure is advocated when closed reduction cannot be obtained by gentle manipulation or maintained by positioning once reduction is done.
 Follow-Up Studies Hip Joint - surgery Humans Arthrodesis - methods Child, Preschool Infant Male Traction - methods Bone Development Hip Dislocation, Congenital - surgery Hip Joint - diagnostic imaging Radiography Time Factors Hip Joint - physiopathology Female Femur Head Necrosis - epidemiology Infant, Newborn Acetabulum - growth & development

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