Open reduction for congenital dislocation of the hip using the Ferguson procedure. A review of twenty-six cases.

Roose, PE; Chingren, G L; Klaaren, H E; Broock, G

doi:10.2106/00004623-197961060-00020

Cited by 34 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our series, the incidence of AVN was 18%. Numerous authors have reported an incidence of AVN in patients who had open reduction either by the medial or anterior approach [10,21,31,37,60,77,88] that was lower than the incidence in our series. However, the followups were too short in those series to include all possible cases of AVN since many, especially type 2, may show up when the patient is 9 to 10 years or older [13,39,50,69,81].…”

Section: Discussioncontrasting

confidence: 77%

Developmental Dislocation of the Hip Successfully Treated by Preoperative Traction and Medial Open Reduction: A 22-year Mean Followup

Farsetti

Caterini

Potenza

et al. 2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background During the last 35 years, the medial approach has been reported more frequently than the anterior approach for open reduction of developmental dislocation of the hip (DDH), however, few studies have followed children treated by medial open reduction to adulthood. Questions/purposes The purposes of our study were: (1) to assess the development of 71 completely dislocated hips after medial open reduction, the incidence of additional surgery and avascular necrosis during the followup period, and the long-term radiographic and functional results; and (2) to compare our results with those obtained by others who performed open reduction either by the medial or anterior approach. Patients and Methods We retrospectively evaluated, after the end of growth, 71 hips in 52 patients who underwent open reduction by the medial approach. The mean age of the patients was 16 months (range, 3-36 months). After surgery, the hips were immobilized in 100°flexion, 60°a bduction, and neutral rotation for an average of 6 months. All patients had staged clinical and radiographic followups until skeletal maturity. The length of followup averaged 22 years (range, 13-32 years). Results In all the surgically treated hips, the acetabular index normalized by the end of growth, the incidence of avascular necrosis was 18%, and additional surgery was required in 15% of our cases. At the last followup, 93% of the hips were classified as Severin Classes I or II and 7% as Class III; 76% of the hips had an excellent result, 17% had a good result, and 7% had a fair result according to the McKay scale as modified by Barrett and colleagues. Conclusions Open reduction of DDH through a medial approach provided good long-term radiographic and functional results in patients 3 to 36 months old and it was the only surgery performed in 85% of our cases. Future comparative studies are needed to confirm our results, especially in older children. Level of evidence Level IV, therapeutic study.

show abstract

Section: Discussioncontrasting

confidence: 77%

Developmental Dislocation of the Hip Successfully Treated by Preoperative Traction and Medial Open Reduction: A 22-year Mean Followup

Farsetti

Caterini

Potenza

et al. 2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…A study by Lindstrom et al showed that with 185 dislocated hips successfully treated with closed reduction, those patients with reduction performed less than 1 year old had the lowest final acetabular index while those with reduction performed later than 2 years of age had the highest final acetabular index 15. In terms of open reduction, Roose et al showed that using the medial (Ferguson) approach, patients with reduction done at an average of 7.2 months old required no secondary acetabular procedure and patients with reduction at 16 months old requires a secondary Salter osteotomy or femoral varus osteotomy 16. Another study by Luhmann et al showed that in 153 hips treated with open reduction via the anterior approach, 17% of patients who were treated at less than 6 months of age required a reconstructive procedure and 74% of patients who were treated at an age of more than 18 months required a secondary reconstructive procedure 14.…”

Section: Discussionmentioning

confidence: 99%

Osteonecrosis and femoro-acetabular impingement: sequelae of developmental dysplasia of the hip

Chow¹,

To²

2012

Case Reports

View full text Add to dashboard Cite

SummaryA 2-year-old girl with developmental dysplasia of the right hip underwent open reduction and capsulorrhaphy via the anterior approach with hip spica casting in an internally rotated position. During her 26 years of follow-up, she was found to have osteonecrosis and subsequently cam-type femoro-acetabular impingement at 28 years of age. She was treated with surgical dislocation of the hip and osteochondroplasty to recreate the normal contour of the head and neck offset.

show abstract

“…Lateralization or subluxation of the hip after plaster cast immobilization is a common phenomenon (Machacek & Salzer 1977, Roose et al 1979). In our series, too, it was the most frequently encountered problem.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors have stressed the importance of leaving this artery intact, but others have observed no additional circulatory disturbances after ligation (Weinstein & Ponseti 1979). It is a conspicuous fact that the percentage of femoral head necrosis is small after primary open reduction (Ferguson 1973, Roose et al 1979) and large after secondary open reduction (Kalamchi et al 1982). Two hips in our series showed a vascular lesion.…”

Section: Discussionmentioning

confidence: 99%

Open reduction of congenital hip dislocation: Advantages of the Ferguson medial approach

Diepstraten

1985

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

Between 1974 and 1982, 56 hips of 51 children with congenital hip dislocation were treated by open reduction via the medial approach according to Ferguson. The mean age a t operation was 7 (3-15) months. After 4 months of plaster cast immobilization, 41 hips had a normal acetabular index. Three hips required supplementary surgery: Salter's pelvic osteotomy in one case and a varus osteotomy in two cases. Of the remaining 53 hips, 26 received supplementary abduction treatment. During the first 2 years after reduction, 19 hips showed slight lateral displacement due to capsular laxity. The follow-up averaged 3 (0.5-8) years. All children older than 3 years now had stable, concentrically reduced hips without special treatment of the lateralization; in 9 of the 56 hips the acetabular roof was still dysplastic a t follow-up. There was no difference in anteversion and neck-shaft angle between the treated and the contralateral hips. As vascular lesions were observed in only two hips and lateralization disappeared spontaneously, the Ferguson procedure seems safe.

show abstract

Open reduction for congenital dislocation of the hip using the Ferguson procedure. A review of twenty-six cases.

Cited by 34 publications

References 0 publications

Developmental Dislocation of the Hip Successfully Treated by Preoperative Traction and Medial Open Reduction: A 22-year Mean Followup

Developmental Dislocation of the Hip Successfully Treated by Preoperative Traction and Medial Open Reduction: A 22-year Mean Followup

Osteonecrosis and femoro-acetabular impingement: sequelae of developmental dysplasia of the hip

Open reduction of congenital hip dislocation: Advantages of the Ferguson medial approach

Contact Info

Product

Resources

About