The Journal of Bone and Joint Surgery, Vol 57, Issue 2 177-183, Copyright © 1975 by Journal of Bone and Joint Surgery, Inc
Pelvic displacement osteotomy for chronic hip dislocation in myelodysplasia
ST Canale, NL Hammond, JM Cotler and HE Snedden
Twelve children with lumbar-level myelodysplasia (average age, eight and
three-quarter years) underwent twenty-one pelvic displacement osteotomies
for subluxated or dislocated hips. Nineteen of the twenty-one hips remained
reduced on three-year follow-up. Gains in gait pattern, ease of bracing,
and reduced pelvic obliquity were noted. Active function about the hips was
not improved, nor was there a decrease in the amount of bracing needed
following the osteotomy. Pelvic displacement osteotomy can be utilized in
selected cases as part of the over-all management of chronic hip
dislocation in myelodysplasia.