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Vol 25, No 2 (1991) Pages :71-74

Surgical treatment of congenital dislocation of the hip by using the Ferguson s procedure

Ertan Mergen, Hakan Omeroglu, Sinan Adiyaman, Bulent Erdemli, Ugur Isiklar

Abstract
43 congenitally dislocated hips of 27 children that were operated by using the Ferguson s procedure at Ankara Universıty, Faculty of Medicine. Department of Orthopaedic Surgery and TraumatologJ between January 1979 and January 1988 and had a follow-up period of more than 2 years, were evaluated retrospectively. The average age at operation was 10.9 months and 741 percent of the patients were female. The average follow-up period was 75.4 months. The results were evaluated according to Severin s Radiographic Criteria 29 of 43 ( 67.4%) hips were considered to be Grade 1 or 11. Avascular necrosis of the femoral head was observed in 4 (9.3%) hips. 12 (27.9%) hips have already undergone or will undergo to subsequent surgery because of acetabular dysplasia or subluxation of the femoral head. The best radiographic results were obtained in the hips that were operated between 7-12 and 13-18 months of age, respectively. Preoperative conservative treatment didn t iı 1fluence the results.
Özet
Ankara Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Kliniği nde Ocak 1979-Ocak 1988 tarihleri arasında D. K. Ç. tanısıyla Ferguson ameliyatı yapılan ve en az 2 yıllık takibi olan 27 çocuğun 43 kalçası retrospektif olarak incelendi. Ortalama ameliyat yaşı 10.9 ay olan hastaların %74.1 i kızdı Ortalama takip süresi 754 aydı sonuçlar severin in Radyolojik Kriterleri ne göre değerlendirildi. 43 kalçanın 29 tanesi (%67.4) severin Grade 1 veya 11 olarak değerlendirildi. 4 kalçada (%9.3) femurbaşı avasküler nekrozu tesbit edildi. 12 kalçaya (%27.9) asetabular displazi veya femurbaşı subluksasyonu nedeniyle ek cerrahi müdahale yapıldı veya planlandı. En iyi radyolojik sonuçlar sırasıyla 7-12 ve 13-18 aylıkken ameliyat olan kalçalarda elde edildi. Preoperatif konservatif tedavinin sonuçları etkilemediği düşünüldü.