Closed Reduction as Therapeutic Gold Standard for Treatment of Congenital Hip Dislocation

2019 ◽  
Vol 158 (05) ◽  
pp. 475-480 ◽  
Author(s):  
Sebastian G. Walter ◽  
Rahel Bornemann ◽  
Sebastian Koob ◽  
Robert Ossendorff ◽  
Richard Placzek
Keyword(s):  
Closed Reduction ◽  
Early Adulthood ◽  
Hip Dislocation ◽  
Early Age ◽  
Congenital Hip Dislocation ◽  
Surgical Interventions ◽  
Surgical Measures ◽  
Acetabular Head Index ◽  
Graf Method ◽  
Hip Spica Cast

Abstract Background Congenital hip dislocation (luxation) has an incidence of 0.4 – 0.7% and is regarded as a prearthrotic deformity. Thus, if not being diagnosed and treated at a very early age, extensive surgical measures are inevitable in childhood and early adulthood. Methods In the time between 01/2013 and 02/2019 we performed 28 600 hips sonographies in babies as part of general screening measures at U2 or U3. There were 71 instable, dysplastic or dislocated hips diagnosed that were treated by arthrographic, closed reduction. After a hip spica cast was applied, reposition was controlled by MRI, estimating the acetabular head index (ACI), the head coverage index (HCI) as well as the femoral headʼs sphericity or by sonography using the Graf method. Results Overall success rate was 91.6% for primary closed reduction. Patients with primarily irreducible hips were significantly older (p < 0.003) than patients with primarily successful reducible hips. Congenital dislocated hips had significantly higher ACIs (p < 0.001) and HCIs (p = 0.03) as well as significantly less well rounded femoral heads (sphericity; p < 0.001) compared to stable hips. Conclusion Early diagnosis and treatment of congenital dislocated hips by closed reduction is essential for a sufficient and regular maturation of the hips without further surgical interventions.

MRI evaluation of hip containment and congruency after closed reduction in congenital hip dislocation

2013 ◽  
pp. 0-0
Author(s):  
Claudia Druschel ◽  
Richard Placzek ◽  
Lina Selka ◽  
Tamara Seidl ◽  
Julia Funk
Keyword(s):  
Closed Reduction ◽  
Hip Dislocation ◽  
Congenital Hip Dislocation ◽  
Mri Evaluation

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

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.

Hypermobility, Arthritis and Congenital Hip Dislocation

Rheumatology ◽  
1990 ◽  
Vol 29 (1) ◽  
pp. 77-77 ◽  
Author(s):  
G. MANGAT ◽  
P. DIEPPE
Keyword(s):  
Hip Dislocation ◽  
Congenital Hip Dislocation

High-Riding Congenital Hip Dislocation: THA With Unilateral vs Bilateral Transverse Femoral Shortening Osteotomy

2018 ◽  
Vol 33 (5) ◽  
pp. 1432-1436 ◽  
Author(s):  
Ata Can ◽  
Ilker A. Sarikaya ◽  
Necip S. Yontar ◽  
Ayse O. Erdogan ◽  
Baris Gorgun ◽  
...  
Keyword(s):  
Hip Dislocation ◽  
Congenital Hip Dislocation ◽  
Shortening Osteotomy ◽  
Femoral Shortening

scholarly journals Congenital Hip Dislocation

2018 ◽  
pp. 259-259
Author(s):  
Jose M. Ramirez
Keyword(s):  
Hip Dislocation ◽  
Congenital Hip Dislocation

scholarly journals FEATURES OF THA IN PATIENTS WITH HIGH CONGENITAL HIP DISLOCATION

2017 ◽  
Vol 23 (4) ◽  
pp. 39-47 ◽  
Author(s):  
B. V. Kamshilov ◽  
A. S. Tryapichnikov ◽  
О. К. Chegurov ◽  
A. S. Zhdanov ◽  
О. P. Zaitseva
Keyword(s):  
Hip Dislocation ◽  
Congenital Hip Dislocation

scholarly journals Congenital Hip Dislocation with a Genu Recurvatum in Togo: A Case Report

2021 ◽  
Vol 4 (1) ◽  
pp. 72-76
Author(s):  
Agbeko FY ◽  
Fiawoo M ◽  
Djomaleu RA ◽  
NZonou M ◽  
Talboussouma S ◽  
...  
Keyword(s):  
Hip Dislocation ◽  
Black Population ◽  
Lower Limbs ◽  
Sub Saharan Africa ◽  
Congenital Dislocation ◽  
Congenital Hip Dislocation ◽  
Genu Recurvatum ◽  
Ultrasound Of The Hip ◽  
The Right ◽  
Dislocation Of The Hip

Introduction: CHD is a condition, which is frequent in pediatrics in the Caucasian population, remains rare in the Black population, and exceptional in sub-Saharan Africa. The Patient: We report this first Togolese case of bilateral congenital dislocation of the hip associated with genu recurvatum observed in a newborn received on the second day of life. The Primary Diagnoses, Interventions, and Outcomes: The pediatric examination had noted extension of lower limbs. The thighs were in adduction with a stiff bilateral genu recurvatum. The abduction of the thighs on the pelvis was considerably limited. The Barlow and Ortolani maneuvers showed a protrusion. There was also a camptodactyly of the thumbs and a cleft palate. The rest of the examination was normal. Ultrasound of the hip showed a bilateral congenital dislocation of the hip with an estimated acetabular fundus of 7 mm on both the right and left sides. Ultrasound and radiography of the knees were normal. Conclusion: Clinical examination at birth is the key step in diagnosis of congenital hip dislocation. In situations where diagnosis is difficult, ultrasound is of capital importance. Treatment is in the majority of cases orthopedic.

Intraprosthetic Dislocation of Modular Dual-Mobility Total Hip Arthroplasty Components During Closed Reduction: A Report of Two Cases

2017 ◽  
Vol 01 (04) ◽  
pp. 205-210
Author(s):  
Ovninder Johal ◽  
Blake Eyberg ◽  
Russell Meldrum ◽  
J. Walker
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Closed Reduction ◽  
Hip Dislocation ◽  
Dual Mobility ◽  
Total Hip ◽  
Unique Mode ◽  
Mode Of Failure ◽  
Hip Disease ◽  
Intraprosthetic Dislocation

AbstractDual-mobility bearing total hip arthroplasty offers several advantages over traditional prosthesis designs in the treatment of degenerative hip disease. Over decades of use, they have shown proven benefits in both durability and stability. However, despite their practical and theoretical advantages, they present a unique mode of failure not seen with other implants. In this report, the authors present two patients who sustained intraprosthetic dislocation of their dual-mobility total hip arthroplasty components during closed reduction of a hip dislocation.

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