ABSTRACT
The aim of this paper was to evaluate the development of different elements of the hip joint after surgical treatment, depending on age, anatomic conditions and degree of dysplasia at the time treatment was implemented. 100 hip joints were evaluated in 76 children treated because of congenital hip dislocation with the Dega or Chiari method in the years 1988-1993, according indication proposed during the XXVI Conference of the Polish Orthopedic Society. Age of patients at the time of surgery ranged from 2.5 to 7.5 years. There were 62 girls and 14 boys. The Dega method was implemented in 85 joints and the Salter method in 12 joints. Follow-up period ranged from 5 to 10 years. The best results were obtained in children who underwent surgery before 4 years of age.
Subject(s)
Hip Dislocation, Congenital/physiopathology , Hip Dislocation, Congenital/surgery , Hip Joint/physiopathology , Age Factors , Child , Child, Preschool , Female , Hip Dislocation, Congenital/diagnostic imaging , Hip Joint/diagnostic imaging , Humans , Male , Radiography , Time Factors , Treatment OutcomeABSTRACT
The paper presents the rotation-abduction contracture of the hip, a problem of growing magnitude in recent years. The anatomy of the hip joint, the perils related to muscle physiology, the symptoms of the disease, the etiology and means of surgical treatment according to Fernandez de Valderrama and Esteve de Miguel are discussed. The results of surgical treatment of 12 patients at the Orthopedic Department of Wroclaw. The presented procedure has been used in our center since 1993, and the results encourage further use of this technique.
