Therapeutic Management for Congenital Hip Joint Dislocation in Children

The study of the treatment outcomes of 45 children (56 joints), aged 10 months - 4 years, with congenital hip joint dislocation has been performed. The follow up period was 7 years. The choice criteria for conservative or surgical treatment are analysed. Several signs detected by functional arthrography which allow to substantiate the therapeutic management are presented. Fourteen inpatients received various conservative manipulations depending on peculiarity of the pathology. The conclusion is made about the necessity of the correction of residual dysplastic hip deformities and acetabulum using extraar- ticular interventions. Surgical treatment was performed in 42 cases. Good and excellent results were obtained in 78% of cases, satisfactory results - in 22% of cases. Authors consider that in initial severe malformation of acetabulum, the presence of anatomic impediment for reduction as well as in low marginal dislocation the open reduction with detorsion-varus-forming osteotomy of the femur and simultaneous reconstruction of the supra-acetabular region by Salter is an efficient and reliable procedure.