Congenital Dislocation of the Hip in Older Children and Adults Treated with Repeated Operations
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概要
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Thirteen cases of congenital dislocation of 15 hips treated with another operations after initial one were followed.An average age of the patients at the time of the first operation, was 9 years and 6 months. The operations were 3 Colonna's capsular arthroplasties, 2 acetabuloplasties following closed reduction, 6 subtrochanteric or intertrochanteric osteotomies, 3 acetabuloplasties and 1 Campbell, s myotomy. The second operations were carried out on an average of 5 years and 9 months after the first one, The second or third operations were 5 acetabuloplasties, 7 subtrochanteric or intertrochanteric osteotomies, 1 Colonna's capsular arthroplasty, 1 trochanterplasty, 1 derotation osteotomy with trochanterplasty and acetabuloplasty, 1 subtrochanteric osteotomy with acetabuloplasty and 1 arthrodesis, The indications were made to relief pain in 14 hips, to restore the anatomical relation between the head and the socket in 2 hips and also the limping in 1 hip.Functional results obtained were normal in 1 hip, restored in 8 hips, unchanged in 4 hips and deteriorated in 4 hips at the average lapse of 4 years and 3 months after the final operation.X-rays of representative cases were shown with discussion.
- 西日本整形・災害外科学会の論文
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