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J Pediatr Orthop. 1990 May-Jun;10(3):335-40.

Medial adductor open reduction for congenital dislocation of the hip.

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Department of Orthopaedics and Rehabilitation, University of New Mexico School of Medicine, Albuquerque.


Twenty-two consecutive patients with 26 dislocated hips were evaluated for a mean of 7 years after open reduction through a medial adductor approach. Severin classification of grade I or II and center-edge angles greater than 20 degrees were present in 73% of hips and 88% of patients treated between the ages of 5 and 14 months. Avascular necrosis (AVN) with partial head involvement occurred in 15% of hips and correlated positively with increased age at surgery, but did not preclude a satisfactory Severin classification. Best results were obtained in children treated between the ages of 5 and 14 months.

[Indexed for MEDLINE]

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