Surgical Correction of Residual Hip Dysplasia in Two Pediatric Age-Groups by François D. Lalonde, Steven L. Frick, and Dennis R. Wenger J Bone Joint Surg.

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Presentation transcript:

Surgical Correction of Residual Hip Dysplasia in Two Pediatric Age-Groups by François D. Lalonde, Steven L. Frick, and Dennis R. Wenger J Bone Joint Surg Am Volume 84(7): July 1, 2002 ©2002 by The Journal of Bone and Joint Surgery, Inc.

Figs. 1-A, 1-B, and 1-C A two year and five-month-old girl who had been treated in infancy with a Pavlik harness because of instability of the right hip. François D. Lalonde et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Radiograph made three months after a Pemberton acetabuloplasty was performed to correct the residual dysplasia of the right hip. François D. Lalonde et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Radiograph made three years after the Pemberton acetabuloplasty, when the patient was five and a half years old. François D. Lalonde et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Figs. 2-A, 2-B, and 2-C A thirteen-year-old girl with bilateral subluxation of the hip and acetabular dysplasia who had no prior treatment and reported pain in the hip bilaterally. François D. Lalonde et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Radiograph made immediately after staged bilateral combined proximal femoral varus derotation osteotomies and triple innominate osteotomies. François D. Lalonde et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Radiograph made four years postoperatively, showing correction of the subluxation of the hip and acetabular dysplasia; however, the right femoral shaft remains in a slightly lateralized position. François D. Lalonde et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.