XU Rui-jiang,HONG Xi-wei,YU Xiang-hua,et al.Surgical management for redislocation after open reduction of developmental dislocation of the hip in older children[J].Journal of Clinical Pediatric Surgery,,9():0.
Surgical management for redislocation after open reduction of developmental dislocation of the hip in older children
- Keywords:
- Hip Dislocation; Development; Surgical Operation; Complication; Older Children
- Abstract:
- Objective To find out how to treat the hip redislocation after open reduction of developmental dislocation of the hip in older children. Methods Eleven patients with 11 redislocated hips underwent surgical procedures betreen 2001.12 to 2008.06. The mean age of the surgical procedure was 8 years (6 to 13). All hips needed open reduction and seven underwent Dega osteotomy, three Staheli augmentation and one Chiari osteotomy. Eight hips needed femoral shortening and derotation osteotomy. Results According to Mckay's criteria, 6 cases got excellent clinical results，3 cases good results and 2 cases fair results. Xay showed that 5 hips got excellent results , 4 good results and 2 fair results by Severin's criteria. Conclusions The surgical management for redislocation after open reduction of developmental dislocation of the hip depended on the patient's pathological changes of the hip. Open reduction, individual acetabular osteotomy and femoral shortening and derotation osteotomy are the keys to acquire the central reduction of the hip.
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Memo
1，解放军总医院小儿外科（100853，北京）；2，揭阳市东山区第一人民医院骨科（广东，522000）。E-mail:xurj@301hospital.com.cn