Es. Karakas et al., ONE-STAGE TREATMENT OF CONGENITAL DISLOCATION OF THE HIP IN OLDER CHILDREN, Journal of pediatric orthopedics, 15(3), 1995, pp. 330-336
We reviewed the results of a primary one-stage combined operation in 4
7 patients (55 hips) who were greater than or equal to 4 years and had
congenital dislocation of the hip. At a mean follow-up of 7.5 years (
2-16 years), 67% of the whole series had good or excellent clinical re
sults, and 65% were good or excellent radiologically. Avascular necros
is occurred in four patients, and redislocation also occurred in four
patients. We concluded that most of the children who are greater than
or equal to 4 years and who have congenital dislocation of the hip can
successfully be treated with an extensive one-stage operation consist
ing of open reduction combined with innominate osteotomy and femoral v
arus, derotation, and shortening osteotomy.