Hip dislocation during lengthening of congenital short femur.
J Pediatr Orthop B
; 21(3): 240-7, 2012 May.
Article
en En
| MEDLINE
| ID: mdl-22186706
ABSTRACT
Hip dislocation is a serious but rarely reported complication of femoral lengthening in congenital short femora. We report a retrospective series of three hip dislocations that occurred during lengthening, analyze the factors contributing to the dislocation, and discuss the treatment of this difficult problem. The average lengthening achieved was 9 cm. We found progressive acetabular dysplasia and decreasing center edge angle. Closed reduction failed. Treatment included soft tissue release, open reduction with femoral shortening, and acetabular procedures. At a mean follow-up of 4.4 years, two patients had a good modified Mckay score and a modified Severin score of 3. Excessive lengthening should be avoided.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Alargamiento Óseo
/
Fémur
/
Luxación de la Cadera
/
Diferencia de Longitud de las Piernas
Tipo de estudio:
Etiology_studies
/
Observational_studies
Idioma:
En
Revista:
J Pediatr Orthop B
Asunto de la revista:
ORTOPEDIA
/
PEDIATRIA
Año:
2012
Tipo del documento:
Article