PMID: 15237114Jul 9, 2004Paper

Operative treatment of bilateral hip dislocation in children with arthrogryposis multiplex congenita

Journal of Orthopaedic Surgery
S AsifM Umar

Abstract

Arthrogryposis multiplex congenita (AMC) is a rare syndrome with multiple joint contractures. It is commonly believed that bilaterally dislocated hips associated with joint contractures should not be reduced, because movement is satisfactory, while open reduction leads to poor results. This report presents our experience with surgical management of bilateral dislocation of hips in children with AMC. During the period 1990 to 2000, we performed open reduction on 8 hips of 4 children with AMC. The mean age at surgery was 23 months (range, 5-48 months). Open reduction and capsular plication without any bony procedure were performed in 4 hips (2 patients). De-rotation and varus osteotomy of the femur was performed in 4 hips, and Salter osteotomy of the innominate bone in 2 hips. The average acetabular index was 44 degrees, and the mean centreedge angle was -41 degrees preoperatively. The average follow-up period was 4 years (range, 2-9 years). The average acetabular index and centre-edge angle were 19 and 18 degrees, respectively at the time of last follow-up. All children could walk without support. One child required re-opening for redislocation of hip joint. The clinical results were good in 6 hips and fair in 2 hips, according ...Continue Reading

References

Aug 12, 1998·The Journal of Bone and Joint Surgery. British Volume·H AkazawaH Inoue

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Citations

Apr 3, 2009·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·F Canavese, M D Sussman
Jul 28, 2019·American Journal of Medical Genetics. Part C, Seminars in Medical Genetics·Marianne GagnonNoémi Dahan-Oliel
Feb 27, 2007·Der Orthopäde·Klaus Parsch, Szymon Pietrzak
Jan 27, 2012·Musculoskeletal Surgery·Stefano StilliOnofrio Donzelli
Jul 9, 2016·Journal of Pediatric Orthopedics. Part B·Bahattin K AydinFatih Durgut
Jun 28, 2012·Journal of Pediatric Orthopedics. Part B·Akifusa WadaToshio Fujii
Sep 4, 2019·American Journal of Medical Genetics. Part C, Seminars in Medical Genetics·Reggie C HamdyMark Eidelman

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