Congenital hip luxation
4 months old children with congenital hip luxation. 4 weeks traction treatment (according to Krämer) without reduction.
See the ultrasound image:
The head is not inside the acetabulum - it leans on the capsule, soft tissue. Reduction is not possible.
What do you propose?
Treatment choices: surgical reduction - but when? Which choices do we have?
- 1. Immediately surgical reduction (reduce and wait: devolopment)
- 2. Surgical reduction when the children is 6 months old (reduced epiphysis necrosis after 6 months)
- 3. Surgical reduction after 1 year of age: reduced necrosi of the femural epiphysis, but you have to do also acetabuloplasty to improve the head coverage)
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