Surgical treatment of neglected congenital dislocation of the HIP joint

ABSTRACT

Sixteen cases of congenital dislocation of hip joint with an age range between 9 months and 6 years at the time of presentation were operatively treated by open reduction combined with Salter pelvic osteotomy in one stage, to be followed 3 - 4 weeks later by varus derotation femoral osteotomy. The patients were followed up to 4 years after surgery and the results were all satisfactory. In all cases the joint was well reduced except in one case in which concentric reduction and perfect containment could not be achieved. No cases of avascular necrosis or head collapse were recorded. The range of movements was almost full in all directions apart from limitation of the last degrees of abduction and external rotation