@article{article_190201, title={Radical surgery in the treatment of the congenital dislocation of the hip}, journal={Acta Orthopaedica et Traumatologica Turcica}, volume={32}, pages={32–36}, year={2006}, DOI={10.3944/aott.v32i1.2223}, author={Demircay, Emre and Karatoprak, Omer and Demircay, Can and Dimiski, Gungor}, abstract={In this study, we reviewed the results of one-stage surgical treatment in 25 hips of 22 patients. Between October 1987 and April 1994, we had operated 52 patients who were 3 years or older and had complete dislocation of the hip. Out of these patients 22 of them had attended to their last follow-up. The average age at operation was 60.9 months and the average follow-up was 52.5 months. None of the children had had previous treatment for the dislocation. Open reduction, femoral derotation with shortening, pelvic osteotomy and capsulorrhaphy were performed as a one-stage procedure. Preliminary traction was not used in any patient. The acetabular index averaged 36.3¡ preoperatively and 16.1¡ at last follow-up. The center-edge angle averaged 26.2¡ at follow-up. Avascular necrosis was observed in 14 (56%) hips; 11 (44%) of these hips were found to be consistant with Type I classification of Kalamchi-McEwen. 7 patients had average 2.5 cm of limb-lenght discrepancy at last follow-up. 25 hips of 22 patients were reviewed with respect to the radiological criteria of Severin and modified clinical criteria of McKay. Radiologically 12 (48%) of the hips were rated as Severin Grade I; 6 (24%), as Grade II; 4 (16%), as Grade III; and 3 (12%), as Grade IV. Clinically 14 (56%) of the hips were rated as excellent, 9 (36%) were rated as good, and 2 (8%) were rated as fair. We think, the late diagnosed congenital dislocation of the hip can be successfully treated with one-stage operation without the need of preliminary traction.}, number={1}, publisher={Turkish Association of Orthopaedics and Traumatology}