Key result
Surgical treatment, often aided by concurrent femoral shortening, in older children with congenital hip dislocation relieves presenting symptoms and improves anatomical relationships.
Why the study?
Does surgical treatment improve symptoms and anatomical relationships in older children with late diagnosed congenital dislocation and subluxation of the hip?
Observational (n=30)
Does surgical treatment improve symptoms and anatomical relationships in older children with late diagnosed congenital dislocation and subluxation of the hip?
Surgical treatment, including femoral shortening, for late-diagnosed congenital hip dislocation in older children relieves symptoms and improves anatomy, potentially facilitating future total hip replacement.
May relieve symptoms and improve anatomy in older children; hypothesis-generating and should not change practice without higher-level evidence.
Thirty hips affected by congenital dislocation or subluxation underwent surgical treatment between the ages of five and fifteen years, and the results are presented. Reduction was aided by concurrent femoral shortening in seventeen. An aggressive approach in older children not only relieves the presenting symptoms in most, but also, by improving the anatomical relationships, increases the prospect of success should total replacement become indicated in the future.
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RS Browne (1979) conducted an observational in Congenital dislocation or subluxation of the hip (n=30). Surgical treatment with or without concurrent femoral shortening was evaluated on Relief of presenting symptoms and improvement of anatomical relationships. Surgical treatment, often aided by concurrent femoral shortening, in older children with congenital hip dislocation relieves presenting symptoms and improves anatomical relationships.
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