Two Cases of Congenital Dislocation of the Hip in Older Children.

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We experienced two cases of congenital dislocation of the hip (CDH), on whom rotational acetabular osteotomy and varus osteotomy were performed.Case 1 is a 12-year-old girl in whom congenital of dislocation of the right hip was pointed out at birth, for which Riemenbügel procedure and overhead traction were performed. She began to complain of right coxalgia and limp from the age of 11 years and consulted our clinic in May 1996. X-ray revealed subluxation of right hip and operation was performed on July 26 of the same year. At present one year postoperatively, she can walk without crutches and has no coxalgia.Case 2 is a 12-year-old girl, in whom dislocation of the left hip was pointed out twice during infancy, but she did not undergo treatment. She developed left coxalgia from the age of 10 years and visited our clinic for examination in November 1996. X-ray revealed complete luxation of left hip and following direct traction for 2 weeks, operation was performed on February 17, 1997. At present 5 months postoperatively, she can walk with crutches but without any coxalgia.With the advancement made in both diagnosis and treatment of CDH, there are only very few cases of residual CDH in children of school age, but treatment of these cases is difficult. Though some investigators have reported that the natural course of CDH in older children without operation is comparatively satisfactory, we elect surgical treatment in cases with severe pain and possible development of coxarthrosis in future. In our two cases the femoral head has been reduced to almost the normal position, but careful continued follow-up observation is necessary.
中国・四国整形外科学会の論文

Two Cases of Congenital Dislocation of the Hip in Older Children.

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中国・四国整形外科学会 | 論文

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