7
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Surgical treatment of the congenital dislocation of the hip after walking age: open reduction and Salter's osteotomy Translated title: Tratamento cirúrgico da luxação congênita do quadril pós marcha: redução aberta e osteotomia de Salter

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          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% of good results (12); 14% of regular results (3) and 14% of bad results(3) were obtained. As to the radiologic criteria, 36% of the hips were classified as excellent (8); 45% as good (10); 5% regular (1) and 14% 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.

          Translated abstract

          A luxação congênita do quadril (LCQ), após a marcha, requer o tratamento cirúrgico, sendo uma das opções a redução aberta associada a osteotomia do osso inominado (tipo Salter). Neste estudo foram avaliados 18 pacientes, 22 quadris, que apresentavam LCQ tratados cirurgicamente, entre 1989 e 1995, utilizando a osteotomia do osso inominado, pela técnica de Salter, pós redução aberta. A idade dos pacientes, na época da cirurgia, variou de 12 a 30 meses, com média de 19 meses, sendo 15 do sexo feminino e 3 do masculino, 4 pacientes tinham acometimento bilateral, sendo que nos demais, 8 tinham o quadril esquerdo acometido e 6 o lado direito. Os resultados foram avaliados segundo critérios clínicos de Dutoit et al.(3) e radiográficos de Severin(12), após um seguimento médio de 48 meses. Clinicamente foram obtidos 18% de resultados excelentes (4); 54% resultados bons (12); 14% regulares (3); e 14% ruins (3). Quanto aos critérios radiográficos, encontramos 36% dos quadris classificados como excelentes (8); 45% bons (10); 5% regulares (1); e 14% ruins(3). Como complicações foram constatados 3 casos de reluxação, tratados com outra técnica cirúrgica. Não foi observado nenhum caso de infecção, fratura do enxerto e lesão vascular ou nervosa.

          Related collections

          Most cited references30

          • Record: found
          • Abstract: not found
          • Article: not found

          INNOMINATE OSTEOTOMY IN THE TREATMENT OF CONGENITAL DISLOCATION AND SUBLUXATION OF THE HIP

            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Classification of natural killer (NK) cell and NK-like T-cell malignancies.

              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Contribution to the knowledge of congenital dislocation of the hip joint. Late results of closed reduction and arthrographic studies of recent cases

                Bookmark

                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                aob
                Acta Ortopédica Brasileira
                Acta ortop. bras.
                Sociedade Brasileira de Ortopedia e Traumatologia (São Paulo )
                1809-4406
                January 2003
                : 11
                : 1
                : 42-47
                Affiliations
                [1 ] Faculdade de Medicina de São José do Rio Preto Brazil
                Article
                S1413-78522003000100006
                10.1590/S1413-78522003000100006
                2f2a0bbe-3e9f-43db-bcf0-27db1a44e752
                Product
                Product Information: website
                Categories
                ORTHOPEDICS

                Comments

                Comment on this article