Open AccessOur experience in the treatment of congenital hip dislocation in children of different ages
Author(s) -
О. А. Малахов,
О. В. Кожевников,
I. V. Gribov,
S E Kralina
Publication year - 2022
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.17816/vto104419
Subject(s) - medicine , bandage , reduction (mathematics) , surgery , distraction , femoral head , dislocation , conservative treatment , osteotomy , psychology , materials science , geometry , mathematics , neuroscience , composite material
The experience in treatment of children with neglected congenital hip dislocation is presented. The main principles of management are defined. The successive complex of curative measures including conservative treatment using Ter-Egiazarov-Sheptun functional plaster bandage in children over 6 months is described in detail. In failed conservative treatment the reduction of dislocation is performed using over head technique. In children over 3 years descent of femoral head and reduction of dislocation are carried out on distraction system followed by surgical correction of all dysplastic elements of the hip joint. Technique of detorsion-varus osteotomy with application of distraction system and closed reduction is described. Long-term results were evaluated using CITO score system in 255 patients. Good and satisfactory results were in 91.7% of cases.