|
The Journal of Bone and Joint Surgery, Vol 62, Issue 6 876-888, Copyright © 1980 by Journal of Bone and Joint Surgery, Inc
Avascular necrosis following treatment of congenital dislocation of the hip
A Kalamchi and GD MacEwen
A review of 119 patients with congenital dislocation of the hip complicated
by avascular necrosis, of whom fifty-one patients were skeletally mature,
showed that damage to the physis was very common. Changes in the secondary
ossification center (ossific nucleus) alone were found to be of very little
value in predicting the nature of the development of the hip, while the
change in the proximal femoral physis was the key to predicting residual
deformity. The vascular disturbances were classified into four groups
depending on the amount of damage involving the ossific nucleus and the
physis during treatment of the dislocation. This classification was found
to be accurate in predicting the natural history of avascular necrosis. The
more severe forms of avascular necrosis were found to be most prevalent in
those patients in whom treatment was begun between birth and the age of six
months. We also found that preliminary traction and the use of general
anesthesia reduced the incidence of the more severe form of avascular
necrosis. The functional results found in the skeletally mature patients
coincided with the types of vascular changes; the presence of avascular
necrosis enhanced the development of arthritis, especially if residual
dysplasia and subluxation also were present.
 CiteULike  Connotea  Del.icio.us  Technorati What's this?
This article has been cited by other articles:
|
|
|
|
 
N. G. Papadimitriou, A. Papadimitriou, J. E. Christophorides, T. A. Beslikas, and P. K. Panagopoulos
Late-Presenting Developmental Dysplasia of the Hip Treated with the Modified Hoffmann-Daimler Functional Method
J. Bone Joint Surg. Am.,
June 1, 2007;
89(6):
1258 - 1268.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Angliss, G. Fujii, E. Pickvance, A. M. Wainwright, and M. K. D. Benson
Surgical treatment of late developmental displacement of the hip: RESULTS AFTER 33 YEARS
J Bone Joint Surg Br,
March 1, 2005;
87-B(3):
384 - 394.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. Jaramillo, S. A. Connolly, S. Vajapeyam, R. L. Robertson, P. S. Dunning, R. V. Mulkern, A. Hayward, S. E. Maier, and F. Shapiro
Normal and Ischemic Epiphysis of the Femur: Diffusion MR Imaging— Study in Piglets
Radiology,
June 1, 2003;
227(3):
825 - 832.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. E. Barnewolt, D. Jaramillo, G. A. Taylor, and P. S. Dunning
Correlation of Contrast-Enhanced Power Doppler Sonography and Conventional Angiography of Abduction-Induced Hip Ischemia in Piglets
Am. J. Roentgenol.,
June 1, 2003;
180(6):
1731 - 1735.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
U. Kandemir, M. Yazici, A. M. Alpaslan, and A. Surat
Morphology of the Knee in Adult Patients with Neglected Developmental Dysplasia of the Hip
J. Bone Joint Surg. Am.,
December 9, 2002;
84(12):
2249 - 2257.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. Patel
Preventive health care, 2001 update: screening and management of developmental dysplasia of the hip in newborns
Can. Med. Assoc. J.,
June 1, 2001;
164(12):
1669 - 1677.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. W. Kim, J. A. Morcuende, L. A. Dolan, and S. L. Weinstein
Acetabular Development in Developmental Dysplasia of the Hip Complicated by Lateral Growth Disturbance of the Capital Femoral Epiphysis
J. Bone Joint Surg. Am.,
December 1, 2000;
82(12):
1692 - 1692.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
F. S. HADDAD, B. A. MASRI, D. S. GARBUZ, and C. P. DUNCAN
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Primary Total Replacement of the Dysplastic Hip*{{dagger}}
J. Bone Joint Surg. Am.,
October 1, 1999;
81(10):
1462 - 82.
[Full Text]
|
|
|
|
|
|
|
C. M A Glazener, C. R Ramsay, M. K Campbell, P. Booth, P. Duffty, D. J Lloyd, A. McDonald, J A. Reid, and J. J Deeks
Neonatal examination and screening trial (NEST): a randomised, controlled, switchback trial of alternative policies for low risk infants • Commentary: "Switchback" allocation---dangerous bends ahead!
BMJ,
March 6, 1999;
318(7184):
627 - 632.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
S. J. LUHMANN, P. L. SCHOENECKER, A. M. ANDERSON, and G. S. BASSETT
The Prognostic Importance of the Ossific Nucleus in the Treatment of Congenital Dysplasia of the Hip
J. Bone Joint Surg. Am.,
December 1, 1998;
80(12):
1719 - 27.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
J. T. GUILLE, S. J. KUMAR, and G. D. MACEWEN
Fibrous Dysplasia of the Proximal Part of the Femur. Long-Term Results of Curettage and Bone-Grafting and Mechanical Realignment
J. Bone Joint Surg. Am.,
May 1, 1998;
80(5):
648 - 58.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
M. G. RYAN, L. O. JOHNSON, D. S. QUANBECK, and B. MINKOWITZ
One-Stage Treatment of Congenital Dislocation of the Hip in Children Three to Ten Years Old. Functional and Radiographic Results
J. Bone Joint Surg. Am.,
March 1, 1998;
80(3):
336 - 44.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
J. A. MORCUENDE, M. D. MEYER, L. A. DOLAN, and S. L. WEINSTEIN
Long-Term Outcome after Open Reduction through an Anteromedial Approach for Congenital Dislocation of the Hip
J. Bone Joint Surg. Am.,
June 1, 1997;
79(6):
810 - 17.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
J. ALBIÑANA, J. A. MORCUENDE, and S. L. WEINSTEIN
The Teardrop in Congenital Dislocation of the Hip Diagnosed Late. A Quantitative Study
J. Bone Joint Surg. Am.,
July 1, 1996;
78(7):
1048 - 55.
[Abstract]
[Full Text]
|
|
|
|
