Orthopedics & Traumatology
Online ISSN : 1349-4333
Print ISSN : 0037-1033
Follow up Study of Bilateral Congenital Hip Dislocation
Sadamichi IkedaKatsuro IwasakiYoshimichi YamaneKenji Yamada
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Volume 34 (1985-1986) Issue 4 Pages 1414-1421

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Abstract

This study provides radiological results of the treatment of bilateral congenital dislocation of the hip.
From 1966 to 1978, 63 cases (59 girls and 4 boys) of CDH were treated in our clinic with Pavlik harness, closed reduction and open reduction. According to the assessment of Severin and Miki, 30 out of 63 cases had anatomical healing in bilateral hips and 17 cases in unilateral hip. Radiological abnormalities such as acetabular dysplasia, deformities of femoral head and lateral displacement of the head were seen in both sides of remaining 16 cases.
In comparison between unilateral and bilateral cases, the results of the closed reduction in bilateral cases were poorer than unilateral cases.
This may be due to the damage to the femoral heads, but we could not find the exact factor effecting the differences between the results of unilateral and bilateral cases.

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