Congenital hip dislocation. Long-range problems, residual signs, and symptoms after successful treatment.

Abstract:

:In the treatment of congenital dislocation of the hip, reduction must be obtained and maintained to provide the proper stimulus for resumption of normal hip joint growth and development. Subluxation and avascular necrosis must be avoided, as degenerative joint disease is certain to occur. Acetabular dysplasia leads to degenerative joint disease with time, although no roentgenographic parameters are predictive. "Normal" hip joint anatomy may fail to develop, depending on the age of the patient at reduction and the growth potential of the acetabular cartilage. However, as normal anatomy as can be achieved should be restored at the age of maturity. This should provide the best possible mechanical environment to avoid exceeding the pressure tolerance level of the hip joint articular cartilage, thereby avoiding degenerative joint disease.

journal_name

Clin Orthop Relat Res

authors

Weinstein SL

subject

Has Abstract

pub_date

1992-08-01 00:00:00

pages

69-74

issue

281

eissn

0009-921X

issn

1528-1132

pub_type

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