Abstract:
:Forty-six consecutive patients with 57 congenitally dislocated hips were treated with open reduction and femoral or acetabular procedures as indicated. Patient age ranged from 12 to 36 months at the time of surgery. We evaluated the outcome of 38 of the 46 patients (83%) with 47 hips (83%) at a mean follow-up of 18 years, 9 months (range, 13 years, 7 months to 24 years, 7 months) after all patients had reached skeletal maturity.Using Severin's radiographic classification, 24 hips (52%) were rated as class I, 12 (26%) as class II, 8 (17%) as class III, 2 (4%) as class IV, and 0 as class V. The mean Iowa Hip Score was 92 points. One patient had significant abductor weakness and a Trendelenburg gait. The mean leg-length discrepancy was <1 cm. Disturbance in growth of the proximal aspect of the femur occurred in 10 hips (22%).In our experience, open reduction of the congenitally dislocated hip in children aged 1 to 3 years, combined with femoral or acetabular procedures, leads to successful clinical and radiographic results in most cases. These patients have an opportunity for normal hip function during childhood and the potential for a straightforward reconstructive procedure should they develop severe degenerative hip arthrosis.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Varner KE,Incavo SJ,Haynes RJ,Dickson JHdoi
10.3928/01477447-20100129-05subject
Has Abstractpub_date
2010-03-01 00:00:00issue
3eissn
0147-7447issn
1938-2367journal_volume
33pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract::Symptomatic neuromas of the sural nerve are a rare but significant cause of pain and debilitation in athletes. Presentation is usually in the form of chronic pain and dysesthesias or paresthesias of the lateral foot and ankle. Treatment traditionally ranges from conservative measures, such as removing all external com...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20151020-15
更新日期:2015-11-01 00:00:00
abstract::Bilateral femur fractures have been associated with frequent morbidity and mortality. Associated injuries and massive hemorrhage contributed to mortality rates that were as high as 27% in previous reports. The goals of this study were to determine the frequency of associated complications, including mortality, and to ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150701-56
更新日期:2015-07-01 00:00:00
abstract::Under certain clinical conditions, posterior stabilization of the cervical spine, supplemented with polymethylmethacrylate (PMMA), is an accepted method of achieving stability. A technique is described in which "cement forms" are used to limit the spread of PMMA and to allow bone graft placement in the lateral paraspi...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1988-05-01 00:00:00
abstract::Calcaneal fractures are rare injuries in children and adolescents, and fractures with displaced intra-articular fracture patterns are even more rare. The purpose of this study was to report 9 intra-articular calcaneal fractures in 8 children (mean age, 12.6 years; range,10-15 years) treated with open reduction and int...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120525-27
更新日期:2012-06-01 00:00:00
abstract::This study compares two different methods of aligning the tibial component in a total knee arthroplasty, one by aligning the component with the border between the medial one third and lateral two thirds of the tibial tubercle and the other by allowing the component to seek its own position as the knee is taken through...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:2001-11-01 00:00:00
abstract::Acute traumatic anterior shoulder dislocations are associated with high recurrence rates in young athletic individuals. Arthroscopically assisted stabilization of acute initial traumatic anterior dislocation was carried out in 11 young athletes. The average age was 20 years, with nine males and two females. The anteri...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1993-09-01 00:00:00
abstract::Prolonging thromboprophylaxis after hospital discharge following surgery reduces the incidence of venographic and symptomatic venous thromboembolism (VTE), although the effects on post-thrombotic syndrome are not yet clear. Oral anticoagulants and low-molecular-weight heparins (LMWHs) may be used for extended outpatie...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:2000-06-01 00:00:00
abstract::Valgus tibial osteotomy is a well-recognized procedure for medial compartment arthritis of the knee. The femorotibial angle must be adequately realigned; most unsatisfactory outcomes result from undercorrection. This study of 27 patients (38 knees) with a valgus tibial osteotomy for unicompartmental arthritis of the k...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1987-10-01 00:00:00
abstract::With the advent of newer prosthetic designs, total wrist arthroplasty provides a functional range of motion, better wrist balance, reduced risk of loosening, and better implant stability. ...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:2004-03-01 00:00:00
abstract::This study assessed the outcome of pediatric both-bone forearm fractures treated with operative intervention. A retrospective review was conducted of 31 patients treated over a 40-month period. Fifteen patients were treated with flexible intramedullary nailing and 16 treated with open reduction and internal fixation. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20070501-08
更新日期:2007-05-01 00:00:00
abstract::Enchondroma of the hand is a common lesion with a recurrence rate of up to 13.3% after curettage and bone grafting. Pathologic fractures often occur. Although allograft bone chips are widely used in the surgical treatment of enchondroma, the use of structural allograft bone has not been reported before. This case repo...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150701-92
更新日期:2015-07-01 00:00:00
abstract::Intramedullary nailing has become the gold standard to treat femoral shaft fractures. It is unknown which nailing technique orthopedic surgeons prefer. The goal of this study was to determine current techniques and perioperative complications of intramedullary nailing of diaphyseal femoral fractures. Fifty-one institu...
journal_title:Orthopedics
pub_type: 杂志文章,多中心研究
doi:10.3928/01477447-20100826-15
更新日期:2010-10-11 00:00:00
abstract::To minimize possible complications such as patellar subluxation, quadriceps atrophy and skin tightness and slough which interfere with successful rehabilitation following knee surgery, the author employed a quadriceps dislocation medial approach for total knee arthroplasty and ligament (medial and both cruciates) surg...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1991-10-01 00:00:00
abstract::Arthroscopy during ulnar shortening osteotomy for ulnar impaction syndrome is subject to debate regarding its clinical usefulness. The purposes of this study were to analyze the arthroscopic findings in patients who underwent ulnar shortening osteotomy and to assess the role of arthroscopic evaluation during osteotomy...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20131120-12
更新日期:2013-12-01 00:00:00
abstract::There are approximately 25 million amateur golfers in the United States, making up almost 10% of the entire US population. The purpose of this study was to evaluate short-term outcomes and rates of return to sport among recreational golfers who underwent hip arthroscopy for the treatment of labral tears. Data were pro...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20180524-02
更新日期:2018-07-01 00:00:00
abstract::This study reviews the results of 94 computed tomography (CT)-guided Craig needle biopsies of the spine and sacrum performed at one center. An indication for biopsy in this study was prompted by abnormal findings identified by one or more of the following diagnostic modalities: radiography, CT, magnetic resonance imag...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract::The significant complication rate associated with harvesting autologous iliac bone or fibula has encouraged development of alternative graft substitutes. In this study, the authors investigated the efficacy and safety of synthetic porous hydroxyapatite (HA) combined with local vertebral bone graft for use in anterior ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20161208-02
更新日期:2017-03-01 00:00:00
abstract::This study sought to postoperatively compare femoral cortical button (FCB) placement in anterior cruciate ligament (ACL) reconstruction performed using an adjustable loop cortical femoral fixation button under direct arthroscopic visualization vs indirect methods. The authors conducted a retrospective review of postop...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20200129-03
更新日期:2020-05-01 00:00:00
abstract::Calcium sulfate (OsteoSet, Wright Medical Technology, Inc, Arlington, Tenn) and calcium sulfate/demineralized bone matrix (DBM) pellets (OsteoSet DBM, Wright Medical Technology, Inc) have been evaluated preclinically in a bilateral medullary defect model of a canine humerus. In this model, both short (6 week) and long...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
abstract::Animal models are commonly used for translational research despite evidence that the methodology of these studies is often inconsistent and substandard. This study describes the characteristics and impact of published research using animal models in the American Journal of Sports Medicine (AJSM). Peer-reviewed article...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120822-30
更新日期:2012-09-01 00:00:00
abstract::Neurologic injury is a rare but devastating complication of spinal surgery that can result in mild sensory to severe motor deficits. Surgeons increasingly use electrophysiological spinal cord function monitoring, including somatosensory- and motor-evoked potentials, intraoperatively to provide information about spinal...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120822-40
更新日期:2012-09-01 00:00:00
abstract::Trochanteric nonunion associated with total hip arthroplasty (THA) may result from 1 of 3 situations: 1) isolated fracture of the greater trochanter; 2) complication of trochanteric osteotomy; or 3) fracture secondary to cystic formation or osteolysis from wear debris post-THA. Isolated fracture of the greater trochan...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2008-07-01 00:00:00
abstract::A 64-year-old woman presented with right hip pain of 6 years' duration, accompanied by limping of 1 years' duration. Preoperative pelvis radiograph showed narrowing of joint space, osteophyte formation, and cystis degeneration of the femoral head surrounded by bony sclerosis, without obvious collapse of the femoral he...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110427-32
更新日期:2011-06-14 00:00:00
abstract::Rupture of the distal biceps tendon most commonly is secondary to mechanical overload during eccentric muscle contraction. Due to deficits of strength and endurance, surgical repair usually is recommended. Although both single- and double-incision approaches have been described, double-incision techniques have been sh...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20190723-05
更新日期:2019-11-01 00:00:00
abstract::Obesity is prevalent in the developed world and is associated with significant costs to the health care system. The effect of morbid obesity in patients operatively treated for long-bone fractures of the lower extremity is largely unknown. The National Trauma Data Bank was accessed to determine if morbidly obese patie...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20101123-03
更新日期:2011-01-03 00:00:00
abstract::Acute compartment syndrome of the thigh is a serious although rare occurrence that was sparsely documented in the orthopedic literature until Schwartz et al reported on a series of 21 cases. Although classically associated with high-energy femur fracture, thigh contusion, or the use of military anti-shock trousers, co...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20091020-19
更新日期:2009-12-01 00:00:00
abstract::Synthetic femurs were used to assess the initial bone-implant interface stability of three total hip systems: Wright Medical Technology's Infinity smooth trochanteric module (S-TM), Infinity porous-coated trochanteric module (PC-TM), and Johnson and Johnson S-ROM with a porous surface. The hips were implanted into syn...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1998-08-01 00:00:00
abstract::This study presents a consecutive series of patients who underwent total knee arthroplasty (TKA) after prior distal femoral fracture without hardware removal. The purpose of this study was to determine the effectiveness of computer-assisted TKA in patients with posttraumatic arthritis, specifically those with retained...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20120919-55
更新日期:2012-10-01 00:00:00
abstract::Limb-length inequality is a clinical problem in children with hypertrophy associated with vascular malformations. The purpose of this study was to determine a pattern of growth, predict discrepancy at maturity, and evaluate the timing and results of epiphysiodesis. Hypertrophy with vascular malformation, follow-up fro...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20171213-07
更新日期:2018-07-01 00:00:00
abstract::An 83-year-old man presented with severe back pain and worsening neurodeficit. Lateral radiographs showed the presence of compression fractures of the L1 to L2 vertebral bodies. Computed tomography (CT) scan showed an intravertebral vacuum sign suggestive of ischemic fracture. Magnetic resonance imaging showed a large...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20101021-26
更新日期:2010-12-01 00:00:00