Medial approach open reduction without preliminary traction for congenital dislocation of the hip

K. Katz*, Z. Yosipovitch

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

We examined the results of medial approach open reduction without preliminary traction or attempt at closed reduction for congenital dislocation of the hip (CDH) in children aged <1 year prospectively. In all children, a trial of conservative treatment with Pavlik harness failed. Twenty-three hips in 19 children were treated. Follow-up ranged from 5 to 10 years (average 8 years). None of the hips redislocated. Osteonecrosis of the femoral head occurred in one patient with coxa magna. Two children subsequently underwent Salter innominate osteotomy for hip dysplasia. Early detection and treatment with Pavlik harness is our preferred approach to treatment of CDH. In children who have failed initial harness management, medial approach open reduction without preliminary traction affords a safe, effective, and relatively simple alternative to other methods of treatment.

Original languageEnglish
Pages (from-to)82-85
Number of pages4
JournalJournal of Pediatric Orthopaedics Part B
Volume3
Issue number1
DOIs
StatePublished - 1994

Keywords

  • Avascular necrosis
  • Congenital dislocation of the hip
  • Medial approach
  • Open reduction
  • Osteonecrosis
  • Preliminary traction

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