Treatment of congenital dislocation of the hip in young children Jaeger (Surg. Gyn. A. Obst. V. 50, No. 4)

Jaeger (Surg. Gyn. A. Obst. V. 50, No. 4) gives 2 cases of successful treatment of congenital hip dislocation in young children. In contrast to the generally accepted late reduction, when the deformation of the glenoid cavity has already gone far, the author proposes to set it early.

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

Asploro Journal of Biomedical and Clinical Case Reports ◽

10.36502/2021/asjbccr.6232 ◽

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.

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Congenital Dislocation of Hip

PEDIATRICS ◽

10.1542/peds.10.4.512a ◽

1952 ◽

Vol 10 (4) ◽

pp. 512-512

Keyword(s):

Hip Dysplasia ◽

Weight Bearing ◽

Hip Dislocation ◽

Congenital Dislocation ◽

Congenital Hip Dislocation ◽

Orthopedic Surgeon ◽

Dislocation Of The Hip ◽

Comprehensive Discussion

This monograph presents a comprehensive discussion of all aspects of congenital hip dislocation, and constitutes valuable reading for both pediatrician and orthopedic surgeon. The author is well qualified to write such a book; he was associated with Lorenz for many years in Vienna, and was his successor at the Orthopedic University Clinic there. Hass classifies congenital dislocation of the hip in 3 categories: (1) Typical, in which hip dysplasia is present at or before birth and is followed in some cases by dislocation after weight-bearing begins.

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Surgical management of the congenital dislocation of the knee and hip in children presented after six months of age

International Orthopaedics ◽

10.1007/s00264-020-04759-8 ◽

2020 ◽

Vol 44 (12) ◽

pp. 2635-2644

Author(s):

Amrath Raj B.K. ◽

Kumar Amerendra Singh ◽

Hitesh Shah

Keyword(s):

Knee Flexion ◽

Hip Dislocation ◽

Congenital Dislocation ◽

Hip Joints ◽

Surgical Interventions ◽

Joint Dislocation ◽

Spontaneous Reduction ◽

Ligamentous Laxity ◽

Rare Congenital Disorder ◽

Dislocation Of The Hip

Abstract Purpose Congenital dislocation of the knee and hip is a rare congenital disorder. The specific aim of the study was to evaluate the clinical and radiological outcomes of the children with congenital dislocation of the knee and hip who presented after six months of age. Methods All the consecutive children with congenital dislocation of the knee and hip joints were retrospectively reviewed. We included cases that were treated after six months of age and followed up for a minimum of two years. Twenty-four children with congenital dislocation of the knee and hip (thirteen with ligamentous laxity, eleven children with stiff joints) were included. The knee was dislocated in 45 limbs; the hip was dislocated in 40 instances. The knee joint dislocation was treated with quadricepsplasty in all twenty-four children (45 knees). The hip dislocation (n = 32) was addressed with either closed reduction (n = 8) or open reduction of the hip (n = 24). Eight hip dislocations were not addressed. The outcome of the hip and knee was evaluated. Results The clinical and radiological outcomes were better in children with ligamentous laxity than without laxity. Twenty-two children were community walkers. An orthosis was needed in eight children. The frequency of spontaneous reduction of unreduced dislocation of the hip was noted in three children (5/8 hips). Conclusion Outcome in combined dislocation of knee and hip is good in most cases with surgical interventions. The outcome is better in children with ligamentous laxity. Spontaneous reduction of the dislocated hips might be achieved after gaining knee flexion following knee surgery for congenital the knee in a few cases.

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Corrective Intertrochanteric Osteotomy of the Femur for Aseptic Necrosis of the Femoral Head after Bloodless Reduction of Congenital Dislocation in School-Age Children

RA Journal Of Applied Research ◽

10.47191/rajar/v7i10.15 ◽

2021 ◽

Vol 07 (10) ◽

Author(s):

Khojaakhmed Shaykhislamovich Alpysbaev ◽

Keyword(s):

Femoral Head ◽

Hip Joint ◽

Hip Dislocation ◽

School Age Children ◽

Congenital Dislocation ◽

School Age ◽

Greater Trochanter ◽

Congenital Hip Dislocation ◽

Aseptic Necrosis ◽

Results Of Treatment

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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CONGENITAL DISLOCATION OF THE HIP

PEDIATRICS ◽

10.1542/peds.9.1.94 ◽

1952 ◽

Vol 9 (1) ◽

pp. 94-100

Author(s):

L. G. PRAY

Keyword(s):

Hip Dysplasia ◽

Effective Means ◽

Clinical Signs ◽

Hip Dislocation ◽

Signs And Symptoms ◽

Congenital Dislocation ◽

Congenital Hip Dysplasia ◽

Hip Abduction ◽

Treat All ◽

Dislocation Of The Hip

Limited hip abduction, when present, is a valuable early sign of congenital hip dysplasia. Other signs and symptoms should be looked for. Confirmation by roentgenographic studies should be sought in all patients. Roentgen changes may be equivocal or lacking during the first three months of life in patients with hip dysplasia. The Frejka pillow splint is a convenient and effective means of treating hip dysplasia or subluxation in early infancy. It is as effective as a cast during this period, and is cleaner and more comfortable. It would seem that a high percentage of cases of congenital hip dysplasia recover spontaneously. However, in view of the seriousness of hip dislocation and the value of early treatment of hip dysplasia, it seems best to treat all infants with clinical signs of this disease.

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Long-term treatment results of congenital hip disease in adolescents

Pediatric Traumatology Orthopaedics and Reconstructive Surgery ◽

10.17816/ptors7487-96 ◽

2020 ◽

Vol 7 (4) ◽

pp. 87-96

Author(s):

Ali A. Abakarov ◽

Abakar A. Abakarov

Keyword(s):

Hip Replacement ◽

Hip Dislocation ◽

Term Treatment ◽

Treatment Results ◽

Congenital Hip Dislocation ◽

Total Hip ◽

Long Term Treatment ◽

Dislocation Of The Hip

Backgrоund. An analysis of modern literature reveals that presently, there are no algorithms for determining the correct method of surgical treatment for adolescents with high congenital hip dislocation; few publications are devoted to the treatment of adolescents with this pathology. Children are treated by podiatrists until the age of 18 before transferring to adult specialists. There remain debatable issues of total hip replacement in adolescents because there are time limits for hip preservation. The search for improved treatment methods for adolescents with this pathology by preserving their own bone structures continues to be relevant. Aim. To evaluate the long-term results of the treatment of adolescents with complete congenital hip dislocation after intertrochanteric osteotomy using the authors technique. Materials and methods. From 19902006, in the Republican Orthopedic and Traumatological Center of the Republic of Dagestan and the clinic of the Department of Traumatology and Orthopedics of the Dagestan State Medical University, 37 patients with high congenital dislocation of the hip underwent 49 operations using the method developed by the authors. The surgeries were performed by a single orthopedist and were presented as an angulatory lengthening by transtrochantiс osteotomy of the femur by fixation with a fingered plate. All patients underwent clinical, radiographical, biomechanical, and statistical evaluation before and after surgery using the Harris and VAS scales. The results of the study were processed using the Student, Pearson, and Kolmogorov coefficients and confidence intervals. Results. Over a long-term treatment period of up to 10 years, the average Harris score increased from 44.2 (95% CI 38.747.9) to 80.5 (95% CI 77.185.3). After the 10-year follow-up period (1015 years after surgery), the scores gradually dropped to 72.4 (95% CI 70.178.3). Unsatisfactory treatment results were found in 13.5% of cases and were mainly associated with an unsuccessful choice of support point under the pelvis and the preservation of uncompensated shortening of the limb. The alignment of the created degree of angulation of the hip in terms of adolescent age groups was not established. Differences in treatment results (depending on the inter-operation time for the bilateral dislocation of the hip) were not established. At follow-up periods of 1015 years after surgery, total hip replacement was performed in 21 joints (56.7%). Conclusions. The proposed method of surgical treatment of congenital hip dislocation in adolescents improves the staticdynamic capabilities of the hip joint and remains effective over the following 15 years of life. The duration of inpatient treatment is reduced and does not interfere with subsequent total hip arthroplasty.

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Features rehabilitation of infants with congenital hip dislocation on the stages of conservative treatment

Pediatric Traumatology Orthopaedics and Reconstructive Surgery ◽

10.17816/ptors3266-70 ◽

2015 ◽

Vol 3 (2) ◽

pp. 66-70

Author(s):

Sergei Yurievich Voloshin ◽

Ekaterina Anatolevna Belousova

Keyword(s):

Conservative Treatment ◽

Hip Dislocation ◽

Late Complications ◽

First Year ◽

Congenital Dislocation ◽

Anatomical Structures ◽

Complete Restoration ◽

Orthopedic Diseases ◽

First Year Of Life ◽

Dislocation Of The Hip

Congenital dislocation of the hip is one of the most common diseases in children leading to disability, which is difficult to diagnose in the first days of life. In the structure of congenital orthopedic diseases congenital dislocation of the hip holds one of the first places. This determines the importance and urgency of the problem, as the most complete restoration of anatomical structures and functions of the hip joint in children occurs in the early diagnosis and comprehensive, timely begun treatment. Rehabilitation of children in the first year of life should be early, systematic, comprehensive and differentiated. Technique of rehabilitation stages conservative treatment includes: wearing functional tires, gymnastics, massage, physiotherapy, therapeutic swimming. This prevents the progression of the disease, the development of early and late complications, does not violate the static-dynamic functions without delay verticalization.

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