Surgical treatment of the congenital dislocation of the hip after walking age: open reduction and Salter's osteotomy

Acta Ortopédica Brasileira

Guaracy Carvalho Filho¹  Alceu Gomes Chueire²  Helencar Ignácio¹  Márcio De Oliveira Carneiro¹  João Francese Neto¹  Augusto César Canesin¹ 

[1] ,Faculdade de Medicina de São José do Rio Preto Hospital de Base Orthopedics and Head of the Orthopedics and Traumatology Department

关键词: Hip dislocation congenital;    Salter osteotomy;    March;    Luxação congênita do quadril;    Osteotomia de Salter;    Marcha;   

DOI  :  10.1590/S1413-78522003000100006

来源: SciELO

【 摘 要 】

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.

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