Castillo-Mendiola J, Oribio-Gallegos JA, Guzmán-Robles O, Gómez-Lira J et al

Language: Spanish
References: 14
Page: 35-39
PDF size: 54.91 Kb.

ABSTRACT

Introduction: This days, medical treatment for thos patients with congenital hip dislocation should be open reduction of dislocated hip. Objective: Demonstrate that it is possible to do a concentric closed reduction of dislocated hip. Design: Partially retrospective, descriptive, observational and longitudinal. Scenario: Pediatrics Orthopedics of Traumatología y Ortopedia Lomas Verdes, Hospital of Instituto Mexicano del Seguro Social México. Patients: We studied 74 patients for May 1999 to April 2000. This patients had a congenital hip dislocation grade III and IV in Tonnis scale, ages between 18 and 60 months. Gendered 16% male, 84% female. We studied 96 hips overall. Methodology: We did an aductors muscle dissection, thenotomy for psoasiliac muscle, closed reduction and holding this position with a cast. We calculated concentric reduction, and this patients hand follow up for the next twelve months. Results: We got a concentric hip reduction in 86% of the hips studied. 13% of the patients required open reduction , with a statistically significant difference (p &#LT 0.00050). Conclusion: It is possible to do a close concentrical reduction of dislocated hip in patients whom had already started walking, as shown in this study

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