Ischemic Necrosis of the Femoral Head in the Treatment of Congenital Hip Dislocation

The immediate results of treatment of 72 children aged 7 to 12 years with aseptic necrosis of the femoral head after bloodless reduction of congenital hip dislocation were analyzed. When treating patients, the following types of surgical treatment were used:extra-articular or open centering of the femoral head with intertrochanteric-torsion-varizing or devarizing and rotational osteotomy of the femur with bringing down the greater trochanter in the caudal direction. In all patients, pain and lameness disappeared, internal rotation of the lower extremities when walking, and the range of motion in the hip joint improved. Improved radiometric parameters characterizing the ratio of the acetabulum and the head of the femur and the angular values of the hip joint and proximal femur.

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Incidence of Avascular Necrosis of the Femoral Head in Congenital Hip Dislocation Related to the Degree of Abduction During Preliminary Traction

Journal of Pediatric Orthopaedics ◽

10.1097/01241398-198111000-00011 ◽

1981 ◽

Vol 1 (3) ◽

pp. 307-311 ◽

Cited By ~ 30

Author(s):

E E Fogarty ◽

N J Accardo

Keyword(s):

Femoral Head ◽

Avascular Necrosis ◽

Hip Dislocation ◽

Congenital Hip Dislocation

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Ischemic necrosis of the contralateral hip as a possible complication of untreated congenital hip dislocation

Skeletal Radiology ◽

10.1007/bf00347202 ◽

1981 ◽

Vol 6 (4) ◽

pp. 279-280

Author(s):

Richard J. Wechsler ◽

Alan M. Schwartz

Keyword(s):

Hip Dislocation ◽

Ischemic Necrosis ◽

Congenital Hip Dislocation

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Formation of avascular necrosis of the femoral head in drug treatment of developmental hip dysplasia and congenital hip dislocation

TRAUMA ◽

10.22141/1608-1706.2.20.2019.168023 ◽

2019 ◽

Vol 20 (2) ◽

pp. 73-79

Author(s):

M.S. Kabatsiy ◽

I.G. Gertsen ◽

S.M. Martsyniak

Keyword(s):

Femoral Head ◽

Drug Treatment ◽

Avascular Necrosis ◽

Hip Dysplasia ◽

Hip Dislocation ◽

Congenital Hip Dislocation ◽

Developmental Hip Dysplasia

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Mistakes and Complications in Conservative Treatmen of Congenital Hip Dislocation in Children

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto200310428-33 ◽

2003 ◽

Vol 10 (4) ◽

pp. 28-33

Author(s):

O A Malakhov ◽

I V Levanova ◽

S E Kralina ◽

V D Sharpar' ◽

O A Malakhov ◽

...

Keyword(s):

Femoral Head ◽

Retrospective Analysis ◽

Hip Joint ◽

Closed Reduction ◽

Hip Dislocation ◽

Congenital Hip Dislocation ◽

Hip Reduction ◽

Plaster Bandage ◽

And Behavior

Retrospective analysis of treatment of 183 patients, aged 1 month-18 months, with congenital hip dislocation was performed. 146 patients had failed hip reduction. It was detected that in 134 cases (91.8%) inadequate treatment and/or wrong management and behavior of parents took place. Failed treatment with Frejka pillow, abductive splint, Pavlic device, functional plaster bandage, closed reduction were considered. Main mistakes in application of those methods as well as violation of treatment tactics were described. It was shown that repeated failed femoral head reductions were unfavorable factors for the following development of hip joint.

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A case report of femoral head fracture with osteochondral lesion treated by osteosynthesis and biomimetic scaffold: 2-year clinical and radiological follow-up

Journal of Experimental Orthopaedics ◽

10.1186/s40634-021-00362-x ◽

2021 ◽

Vol 8 (1) ◽

Author(s):

Alessandro Casiraghi ◽

Claudio Galante ◽

Marco Domenicucci ◽

Stefano Cattaneo ◽

Andrea Achille Spreafico ◽

...

Keyword(s):

Case Report ◽

Femoral Head ◽

Articular Surface ◽

Osteochondral Lesion ◽

Hip Dislocation ◽

Fracture Dislocation ◽

Osteochondral Lesions ◽

Femoral Head Fracture ◽

Osteochondral Scaffold

AbstractThe aim of the present study was to present clinical and radiological outcome of a hip fracture-dislocation of the femoral head treated with biomimetic osteochondral scaffold.An 18-year-old male was admitted to the hospital after a motorcycle-accident. He presented with an obturator hip dislocation with a type IVA femoral head fracture according to Brumback classification system. The patient underwent surgery 5 days after accident. The largest osteochondral fragment was reduced and stabilized with 2 screws, and the small fragments were removed. The residual osteochondral area was replaced by a biomimetic nanostructured osteochondral scaffold. At 1-year follow-up the patient did not complain of hip pain and could walk without limp. At 2-year follow-up he was able to run with no pain and he returned to practice sports. Repeated radiographs and magnetic resonance imaging studies of the hip showed no signs of osteoarthritis or evidence of avascular necrosis. A hyaline-like signal on the surface of the scaffold was observed with restoration of the articular surface and progressive decrease of the subchondral edema.The results of the present study showed that the biomimetic nanostructured osteochondral scaffold could be a promising and safe option for the treatment of traumatic osteochondral lesions of the femoral head.Study Design: Case report.

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