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Combined procedure of open reduction and shortening of the femur in treatment of congenital dislocation of the hips in older children

Klisic, P.; Jankovic, L.

Clinical Orthopaedics and Related Research 119: 60-69

1976

ISSN/ISBN: 0009-921X
PMID: 954325
Document Number: 98447
A one-stage, combined operative procedure for reduction of congenitally dislocated hips in older children consists of shortening of the femur; open reduction by an inferior approach to the joint; reconstruction of the acetabular roof; correction of anteversion of both the femoral neck and the neck-shaft angle; anterior transposition of the iliopsoas muscle. On 60 hips operated in children, ages 5 to 15 with a follow-up period, ranging from 5 to 9 years, the results were found to be excellent in 3 per cent, good in 60 per cent, fair in 30 per cent, and poor in 7 per cent. The procedure is indicated in children up to the time of early puberty. The primary indication is high bilateral dislocation. In unilateral dislocations some residual leg-length discrepancy frequently occurs. This procedure should be done only by orthopedic surgeons who have special training and experience in the treatment of congenital dislocation of the hip.

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Bhatti, A.; Kumar, J.; Butt, S.A. 2014: Outcome of one stage combined open reduction, pelvic and derotation femoral osteotomy in congenital dislocated hips of children younger than three years age JPMA. Journal of the Pakistan Medical Association 64(9): 1015-1020
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