26-152
Luxación congénita de cadera. Nuestra Experiencia.
F. SAENZ DE RUEDA y F. LOPEZ VIZCAYA. Hospital Universitario
Recepción:
14/01/2009
Aceptación:
14/01/2009
Publicación:
14/01/2009
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Resumen (ES)
Congenital hip dislocation represents, even today, an authentic problemwithin the pediatric orthopaedic field due to its frequency, and above all,because of the negative results of a late diagnosis.Based on our experience and review of a total of 334 cases, they must recommendbased on those cases an increased colaboration between Tocologists, Pediatriciansand Ortopedics to avoid that displasia dislocation in newborns becomes a truedislocation in a child that has begun to walk.Under established cases of dislocation, they are against the forced reductionunder general anesthesia and succesive-continued inmovilization with LorenzCasts. They recommend treatment based on slow reduction by continous captivetraction, arthrography, if necessary limbectonomy with posterior. De-Rotationalsubtrochanteric osteotomy, sometimes Varus-Producing. For children 4 years orolder acetabuloplasty may be necessary.
Palabras clave (ES):
Cadera
Infantil
Displasia
Pediátrica
Luxante
Luxación
Congénita
Resumen (EN)
Congenital hip dislocation represents, even today, an authentic problemwithin the pediatric orthopaedic field due to its frequency, and above all,because of the negative results of a late diagnosis.Based on our experience and review of a total of 334 cases, they must recommendbased on those cases an increased colaboration between Tocologists, Pediatriciansand Ortopedics to avoid that displasia dislocation in newborns becomes a truedislocation in a child that has begun to walk.Under established cases of dislocation, they are against the forced reductionunder general anesthesia and succesive-continued inmovilization with LorenzCasts. They recommend treatment based on slow reduction by continous captivetraction, arthrography, if necessary limbectonomy with posterior. De-Rotationalsubtrochanteric osteotomy, sometimes Varus-Producing. For children 4 years orolder acetabuloplasty may be necessary.
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