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Hip deformities after successful treatment of congenital dislocation of the hip in infancy

Z Yosipovitch

    Israel Journal of Medical Sciences
    |April 1, 1980
    PubMed

    Insights

    Even successful early treatment for congenital dislocation of the hip (CDH) requires long-term monitoring. Untreated complications like avascular necrosis can emerge later, impacting hip development and function.

    Area of Science:

    • Orthopedics
    • Pediatric Orthopedics
    • Developmental Orthopedics

    Background:

    • Early detection and reduction of congenital dislocation of the hip (CDH) are crucial.
    • However, successful infant treatment does not guarantee normal long-term hip development.

    Purpose of the Study:

    • To investigate the long-term outcomes of infants with CDH treated successfully in infancy.
    • To identify potential complications arising from early asymptomatic avascular necrosis.

    Main Methods:

    • Retrospective study of 14 hips in 11 females treated for CDH in infancy.
    • Patients were followed up between ages 6 and 11 years after initial successful closed reduction and discharge at age one.

    Main Results:

    • Patients presented with waddling gait, limping, and limited abduction.
    • X-rays showed premature closure of the capital femoral growth plate and greater trochanter overriding, attributed to avascular necrosis.
    • Treatments included osteotomies and epiphysiodesis.

    Conclusions:

    • Late complications of asymptomatic avascular necrosis following CDH treatment are unpredictable in infancy.
    • Long-term follow-up is essential for CDH patients, even after successful early reduction.

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