Luxación congénita de cadera: nuestra experiencia

Congenital hip dislocation represents, even today, an authenti c problem within the pediatric orthopaedic field due to its frequency, and above all, becaus e of the negative results of a late diagnosis. Based on our experience and review of a total of 334 cases, they must recommend based on those cases an increased colaboration between Tocologists, Pediatricians and Ortopedics to avoid that displasia dislocation in newborns become s a true dislocation in a child that has begun to walk. Unde r established cases of dislocation, they are against the forced reduction unde r general anesthesia and succesive-continued inmovilization with Lorenz Casts. They recommend treatment based on slow reduction by continous captive traction, arthrography, if necessary limbectonomy with posterior. De-Rotational subtrochanteric osteotomy, sometimes Varus-Producing. For children 4 year s or older acetabuloplasty may be necessary.