A Clinical Study of Congenital Dislocation of the Hip
10.4055/jkoa.1978.13.3.377
- Author:
Hyun Kee CHUNG
;
Kwang Hoe KIM
;
Il Yong CHOI
- Publication Type:Original Article
- MeSH:
Acetabulum;
Breech Presentation;
Clinical Study;
Congenital Abnormalities;
Diagnosis;
Dislocations;
Early Diagnosis;
Female;
Head;
Hip;
Humans;
Immobilization;
Infant;
Lower Extremity;
Male;
Metatarsus;
Orthopedics;
Osteotomy;
Pregnancy;
Reproductive History
- From:The Journal of the Korean Orthopaedic Association
1978;13(3):377-390
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The congenital dislocation of the hip is one of the most common congenital disease of the infants. The diagnosis and treatment of comgemital dislocation of the hip has been developcd since Lorenz published the methods of the closed reduction and immobilization in 1895. By replacing the displaced femoral head in the acetabular socket in early time, the normal development of acetabulum and femoral head were expected. So the early diagnosis and treatment were very important for good results. The authors studied 19 cases of 18 patients of congenital dislocation of the hip at the Department of Orthopedic Surgery of Hanyang University Hospital from June, 1972 to June, 1977. As results of this study, the following concolusion were result reached: 1. The proponderance of girl to boy was 13: 5. 2. The ratio of left side to right was 12:7. 3. The chief complaints were shortening of lower extremity, limitation of hip motion(esp. abduction) below 1 year old age and limping in over 1 year old age. 4. The associated congenital anomaly was abserved in a case of internal tibial torsion and metatarsus varus deformity. 5. In birth history, there was 1 case of breech presentation. 6. The acetabular index was much decreased in involved hip than the sound hip in treatment. 7. The arthrogram was valuable to detect any obstacles of closed reduction. 8. In 16 cases of 15 patients, 13 cases were treated by closed reduction, 1 case was open reduction, 1 case was derotation osteotomy, 1 case was varus and derotation osteotomy. 9. The results of treatment was Excellent:8 Good:8.
