28-168
Tratamiento de la luxación congénita de cadera inveterada según la técnica de Klisic
TREATMENT OF NEGLECTED CONGENITAL HIP DISLOCATION BY KLISIC'S TECHNIQUE
F. FERNANDEZ PALAZZI, C. DESEDA, D. PALACIO y G. GOATACHE Servicio de Ortopedia. Hospital San Juan de Dios Caracas (Venezuela).
Recepción:
12/01/2009
Aceptación:
12/01/2009
Publicación:
19/01/2009
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Resumen (ES)
A group of 15 patients, over 6 years of age, with neglected congenital hip dislocation(16 hips) were operated on using the Klisic''''s technique. The mean follow-up was 4 years.Prior this surgery, 12 hips had undergone different surgical treatments without satisfactoryresults. At the end of follow-up 11 hips were satisfactory reduced. In 6 cases necrosis of thefemoral head was detected, but necrotic signs were seem in the preoperative radiographs of5 of these cases. According to a clinico-radiographic score (Trevor et al. 1975), either excellentor good results were obtained in 50% of cases. In 3 1% the outcome was poor from both clinicaland radiographic point of view. In conclusion, Klisic''''s technique seems to be a suitable alternativefor the treatment of reglected congenital dislocation of the hip. The more proper indicationwould be a high dislocation of the hip with hypoplasic acetabulum.
Palabras clave (ES):
Inveterada
Técnica
Klisic
Congénita
Luxación
Quirúrgico
Tratamiento
Displasia
Cadera
Resumen (EN)
A group of 15 patients, over 6 years of age, with neglected congenital hip dislocation(16 hips) were operated on using the Klisic''''s technique. The mean follow-up was 4 years.Prior this surgery, 12 hips had undergone different surgical treatments without satisfactoryresults. At the end of follow-up 11 hips were satisfactory reduced. In 6 cases necrosis of thefemoral head was detected, but necrotic signs were seem in the preoperative radiographs of5 of these cases. According to a clinico-radiographic score (Trevor et al. 1975), either excellentor good results were obtained in 50% of cases. In 3 1% the outcome was poor from both clinicaland radiographic point of view. In conclusion, Klisic''''s technique seems to be a suitable alternativefor the treatment of reglected congenital dislocation of the hip. The more proper indicationwould be a high dislocation of the hip with hypoplasic acetabulum.
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