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Open reduction for neglected traumatic hip dislocation in children and adolescents
Ashok Kumar Banskota1, David Andrew Spiegel, Shikshya Shrestha
1Hospital and Rehabilitation Centre for Disabled Children, Banepa, Kavre, Nepal. hrdc@wlink.com.np
Journal of Pediatric Orthopedics
|February 23, 2007
Summary
Open reduction is a viable treatment for neglected pediatric hip dislocations, yielding adequate function despite avascular necrosis. Further degenerative changes are possible, but salvage options remain if surgery fails.
Area of Science:
- Pediatric Orthopedics
- Traumatology
Background:
- Neglected traumatic hip dislocation in children is rare.
- Optimal treatment strategies are not well-established.
Purpose of the Study:
- To evaluate the outcomes of open reduction for neglected traumatic pediatric hip dislocations.
Main Methods:
- Retrospective case series of 8 children treated with open reduction.
- Mean follow-up of 7 years and 7 months.
Main Results:
- 6 hips remained reduced; 2 had non-concentric reduction.
- All patients developed avascular necrosis.
- Functional outcomes were adequate in concentric reductions, despite avascular necrosis.
Conclusions:
- Open reduction offers functional benefits for neglected pediatric hip dislocations.
- Prognosis is guarded due to avascular necrosis and potential degenerative changes.
- Operative reduction is preferred over other methods, with salvage options available for failed cases.
