Tratamento cirúrgico de luxação congênita do quadril pós marcha: redução aberta e osteotomia de Salter / Surgical Treatment of the congenital dislocation of the hip after walking age: open reduction and Salter´s osteotomy

RESUMO

The congenital dislocation of the hip, after the function of weight bearing begins or walking phase requires surgical treatment, and one of the options is the open reduction combined to innominate osteotomy (Salter). In this study, the results of 18 patients, 22 surgically treated hips with congenital dislocation, were evaluated from 1989 and 1995, using innominate osteotomy, by Salter's technique after open reduction. The age of the patients at the time of surgery ranged from 12 to 30 months (age after march), mean age of 19 months. Fifteen were female and 3 were male, 4 patients had bilateral dislocation and in the remaining, 8 had their left hip dislocated and 6 had their right hip dislocated. The results were evaluated according to Dutoit et al.(3) clinical criteria and to Severin(12) radiological criteria, after a mean follow-up of 48 months. Eighteen percent of excellent clinical results (4); 54 percent of good results (12); 14 percent of regular results (3) and 14 percent of bad results(3) were obtained. As to the radiologic criteria, 36 percent of the hips were classified as excellent (8); 45 percent as good (10); 5 percent regular (1) and 14 percent bad (3). There were 3 cases of re-dislocation which were treated by a different surgical technique. No cases of infection, graft fracture and vascular or nervous injury were reported.