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      Pemberton osteotomy for the treatment of developmental dysplasia of the hip in older children.

      1 , ,
      Journal of pediatric orthopedics

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          Abstract

          A retrospective analysis was done of the results of the Pemberton osteotomy for the treatment of developmental dysplasia of the hip in 16 hips of 14 children older than 7 years. The average age of the patients at the time of surgery was 11+6 years and the average follow-up was 4+10 years. Eleven hips required one or more surgical procedures concomitant with the Pemberton osteotomy to achieve a concentric and congruous reduction of the hip joint. None of the hips developed avascular necrosis of the acetabular fragment. The center-edge angle improved from a preoperative average of 1 degree to an average of 30 degrees at the most recent follow-up. Correction of acetabular dysplasia was noted in 14 of the 16 hips, as demonstrated by the improvement in the acetabular index, the center-edge angle, and the Severin class. We believe that the Pemberton osteotomy can be a safe and effective procedure for the treatment of developmental dysplasia of the hip in the older child.

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          Author and article information

          Journal
          J Pediatr Orthop
          Journal of pediatric orthopedics
          0271-6798
          0271-6798
          April 8 1998
          : 18
          : 2
          Affiliations
          [1 ] Shriners Hospital for Children, St. Louis Unit, Missouri 63131, USA.
          Article
          9531412
          1bfed373-bb0f-4d67-b519-c5b6ca85bfd5
          History

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