Closed reduction for congenital dysplasia of the hip. Functional and radiographic results after an average of thirty years

摘要: The functional and radiographic results of closed reduction in 152 congenitally dislocated hips 119 patients who had been managed between 1938 1969 were reviewed retrospectively. average age the at time was twenty-one months (range, one to ninety-six months). At latest follow-up evaluation, thirty-one years sixteen fifty-six years). duration thirty fifteen fifty-three Iowa hip rating averaged 91 points 38 100 points) Harris score 90 33 points). Thirty-five rated Severin Class I; thirty-five, II; twenty-eight, III; fifty-three, IV; one, VI. Disturbance growth proximal end femur occurred ninety-one (60 per cent). Eight contralateral that appeared normal also demonstrated disturbance femoral growth. In many hips, partial physeal arrest could not be determined for ten twelve after reduction. Seventeen (twelve patients) a total replacement when an thirty-six nineteen Sixty-five (43 cent) evidence degenerative joint disease. Patients did have or subluxation tended function extremely well despite result less than anatomical. Function deteriorate with time, even absence femur. Despite generally good prognosis these remained guarded.