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Results for “HIP DISLOCATION, CONGENITAL”

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At least 397 records · Page 22Linked to original sources
PubMed1990

[Correction of the position of the limbus in open reduction of congenital hip dislocation in children].

On the basis of their clinical experience in the treatment of 146 patients with congenital dislocation of the hip the authors have evaluated the state of the limb in this pathologic condition. Various changes in the limb's form have been observed depending on the expression of the hip dislocation and on the patient's age. The instruments for incisions and for correcting the limb's position have been worked out. The fixation of the limb in the functionally correct position is carried out by stitching its fragments and fixing the strained threads in the greater trochanter area. The correction of the limb's position allows the subsequent correct development of the acetabular roof.

Acetabulum↗
PubMed1990

The effects of contact pressure elevations and aseptic necrosis on the long-term outcome of congenital hip dislocation.

The relationship between excessive articular contact pressure, aseptic necrosis, and the long-term outcome with unilateral congenital dislocation of the hip (CDH) was studied in a series of 84 patients treated by closed reduction and followed for an average of 29.2 years. Contact stress was estimated from archived radiographs taken at the time of maturity and at several follow-up visits. At a recent review, each patient was rated both clinically for pain and function and radiographically for deformity, degeneration, and aseptic necrosis. For each of 431 archived films, articular contact stress (force/area) was estimated mathematically, based upon a frontal plane equilibrium (force) analysis and a landmark-based inference of three-dimensional head surface (area). Good correlation with final deformity (Spearman rho = 0.78) was obtained when the hips were ranked in terms of a new cumulative overpressure index Pc, defined as a time-pressure product involving years of pressure exposure beyond a 2 MPa pressure damage level. An unsatisfactory outcome occurred in 90.4% of the hips experiencing Pc greater than 10 MPa-years (most of which had aseptic necrosis involvement), whereas the outcome was satisfactory in 80.9% of hips with Pc less than 10 MPa-years.

Adolescent↗
PubMedDate not supplied

Tangential view arthrogram at closed reduction in congenital dislocation of the hip.

Of 119 previously untreated hips with congenital dislocation (complete dislocation), a classification of tangential view arthrograms at closed reduction was attempted in 34 joints that could not be reduced with a Pavlik harness or by traction but could be reduced manually under anesthesia. Conservative or open reduction was selected according to this classification. None of the hips had total femoral head necrosis, and only two femoral heads showed mild permanent necrosis. These results suggest the usefulness of this classification for selection of treatment for congenital hip dislocation.

Arthrography↗
PubMed1994

[Results of early surgical reduction of congenital hip dislocation].

Authors report on the results of 118 early operative reductions, performed with their own method in the treatment of the congenital dislocation of the hip. Postoperative functional treatment with Pavlik's harness or abduction splint belongs to their method. Secondary operations were performed in 21 per cent: derotation femoral osteotomy and Pemberton's operation. The younger the patient was at the reduction the rarer was secondary operation necessary. The age of the patients was 6-24 months at the operation (in average 13 months) The follow-up time was 2-12 years (in average 6.1 years). The results corresponded radiologically to Severin's I + II grades (excellent and good) in 98 per cent. Clinically 98 per cent were excellent, 2 per cent fair. The good results are first of all attributed to their postoperative treatment: 1. They avoided the stiff plaster bandage and so no tension of the soft parts could develop, that would endanger the blood supply. In consequence ischaemic damage, belonging to Kalamchi's and Mac Ewen's group I was found only in a few cases. No damage belonging to the severe forms II-IV was observed 2. Their treatment: secures the central reduction and allows spontaneous joint movements in functional position: factors meaning the maximal stimulus of joint development. The condition of this postoperative treatment is the stability of reduction, secured by their special plasty of the capsule.

Age Factors↗
PubMed1992

[Characteristics of bone marrow stromal cell-precursor cells in children with congenital hip dislocation].

Basing on cloning in vitro, colony-forming stromal cells (CFSC) of the bone marrow were studied in 66 children with a congenital dislocation of the hip. Degenerative processes in the bones of the hip joint were followed by a significant decrease of CFSC cloning. A direct correlation between the results of surgical treatment and cloning efficiency is established. Thus, the cloning efficiency may be used as a criterion for determining feasibility, time of surgery and its prognosis.

Adolescent↗
PubMed2002

[Results of hip surgical reconstruction in congenital dislocation of the hip in children].

The paper presents a series of 51 hips (5 boys, 33 girls) that underwent reconstructive surgery because of congenital hip dislocation. Surgical treatment involved a one-stage procedure, consisting of correction of the proximal femur position and acetabuloplasty. Acetabulum reconstruction was achieved by using one of three methods: Pemberton osteotomy, Salter osteotomy and a "shelf-type" acetabuloplasty. Excellent and good results were found in 84% of the cases under 4 years of age, irrespective of the acetabuloplasty implemented.

Acetabulum↗
PubMedDate not supplied

Classic. Translation: Hilgenreiner on congenital hip dislocation.

This is an English translation of the original classic paper by Prof. Dr. H. Hilgenreiner in which he reviews the then (1925) current thought on congenital dislocation of the hip (CDH), argues for its early treatment, outlines techniques for early diagnosis, presents a splinting method of treatment for infants, and, especially, describes his method of radiographic evaluation, including the measure of acetabular development that has become known as "the acetabular index." His anticipation of our present understanding of CDH is surprising.

Age Factors↗
PubMed1995

Femoral artery thrombus complicating open reduction of congenital hip dislocation.

There are no reports in the literature of femoral artery thrombi occurring as a complication of open reduction of congenital hip displacement. In an 11-month-old female infant, a femoral artery thrombus most likely formed as a result of compression of the femoral artery with a muscle retractor hook used in performing Ludloff's procedure. Femoral artery thrombi should be considered as a possible complication of reduction of congenital hip dislocation with Ludloff's procedure.

Angiography↗
PubMed1986

[The use of indomethacin in the prevention of peri-articular ossification in the surgical treatment of congenital hip dislocation in children].

The authors have used indomethacin (30 mg per day for 4 weeks) in the post-operative treatment of children who have had a surgical procedure for congenital dislocation of the hip--either an isolated Colonna procedure or associated with femoral shortening. It was concluded that indomethacin is effective in preventing or diminishing the incidence of post-operative para-articular bone formation. No secondary defects were noted.

Arthroplasty↗
PubMed1992

[Unnecessarily taxing treatment of congenital hip dislocation to be avoided by timely diagnosis at the well-child center].

In 79 children treated in the Sophia Children's Hospital in Rotterdam because of imminent limping due to congenital dislocation of the hip, the contribution of screening tests by physicians of Infant Health Centres to the timely discovery of this disease was examined. When both limitation of abduction of the hip and difference in length of the legs are examined 6 times in the period of 1-8 months of age, the following results in relation to children not or less well screened may be expected: The risk of discovery of the disease at an age when surgery is not excluded, is reduced to one-third. As a result of the shorter delay between discovery and treatment in practice the risk of having to undergo surgery is halved. The risk of discovery at an age when osteotomy according to Salter is required, is nil. In practice the risk of having to undergo osteotomy is reduced to one quarter. Lowering the frequency of the screening tests reduces the contribution. Examination of just limitation of abduction of the hip also appears to reduce the contribution.

Child↗
PubMed1995

[Changes in the subcapital growth plate due to avascular necrosis after treatment for congenital hip dislocation in radiologic, tomographic and magnetic resonance examinations].

The aim of this investigation was to compare magnetic resonance imaging and radiography in detecting subcapital growth plate changes due to avascular necrosis after treatment for congenital dislocation of the hip. MRI was done in 16 patients (21 hips) aged 8-12 (mean 10 years), treated because of CDH. Radiographs were also done in all cases. Comparison between these two imaging modalities revealed superiority of MRI in both imaging of normal subcapital physis and imaging of its disorders.

Child↗
PubMed1980

Detection and treatment of congenital hip dislocation in babies at risk in Western Galilee.

The orthopedic department of the Nahariya Government Hospital, together with the Mother and Child Health centers of the Ministry of Health, is aiming at early detection of congenital dislocation of the hip in Western Galilee. In suspected cases, the baby is referred to the orthopedic outpatient department where a thorough examination, usually including X-ray, is performed. One result of early detection and consequent early conservative treatment is that the number of babies requiring surgery dropped from 16.7 to 5% in recent years.

Hip Dislocation, Congenital↗
PubMed1987

Ultrasonic investigation of the hip in newborns in the diagnosis of congenital hip dislocation: classification and results of a screening program.

The method of ultrasonic examination of the hip is described, the latest updated Graf classification is explained, and the results of a prospective screening program are described. One thousand four hundred and sixty newborn infants were examined by ultrasound and clinically by independent observers. The distribution of the ultrasound types was determined. Recommendations are given for the use of ultrasonic investigation of the hip for groups at risk in the neonatal period.

Female↗