Summary
Between January 1979 and October 1984, 31 congenitally dislocated hips in 19 patients were treated using open reduction via the medial approach, as described by Ferguson, at the Ankara University Faculty of Medicine. Patient age at operation ranged from 3 to 33 months (mean 12.1 months). The average follow-up was 94.7 months. All hips were evaluated both radiographically and clinically. Avascular necrosis of the femoral head was observed in 9.7% and slight, transient ischaemic radiographic changes of the femoral head in 22.6% of the hips; 25.8% of the hips have already undergone or are due to undergo subsequent surgery due to an insufficient radiographic result. The medial approach was found to be a reliable procedure for infants who have not had extensive previous conservative treatment and who are between 7 and 18 months of age.
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Berkeley ME, Dickson JH, Cain TE, Donovan MM (1984) Surgical therapy for congenital dislocation of the hip in patients who are twelve to thirty-six months old. J Bone Joint Surg [Am] 66:412–420
Castillo R, Sherman FC (1990) Medial adductor open reduction for congenital dislocation of the hip. J Pediatr Orthop 10:335–340
Diepstraten FM (1985) Open reduction of congenital hip dislocation. Advantages of the Ferguson medial approach. Acta Orthop Scand 56:32–35
Ferguson AB (1973) Primary open reduction of congenital dislocation of the hip using a median adductor approach. J Bone Joint Surg [Am] 55:671–689
Ferguson AB (1982) Treatment of congenital dislocation of the hip in infancy using the medial approach. In: Tachdjian MO (ed) Congenital dislocation of the hip. Churchill Livingstone, New York, pp 283–293
Kalamchi A, Schmidt TL, MacEwen GD (1982) Congenital dislocation of the hip. Open reduction by the medial approach. Clin Orthop 169:127–132
Massie WK (1951) Vascular epiphyseal changes in congenital dislocation of the hip. Results in adults compared with results in coxa plana and in congenital dislocation without vascular changes. J Bone Joint Surg [Am] 33:284–306
Massie WK, Howorth MB (1951) Congenital dislocation of the hip. II. Results of open reduction as seen in early adult period. J Bone Joint Surg [Am] 33:171–198
Mau H, Dorr WM, Henkel L, Lutsche J (1971) Open reduction of congenital dislocation of the hip by Ludloff's method. J Bone Joint Surg [Am] 53:1281–1288
McKay DW (1974) A comparison of the innominate and the pericapsular osteotomy in the treatment congenital dislocation of the hip. Clin Orthop 98:124–132
O'Hara JN, Bernard AA, Dwyer JP (1988) Early results of medial approach open reduction in congenital dislocation of the hip. Use before walking age. J Pediatr Orthop 8:288–294
Roose PE, Chingren GL, Klaaren HE, Broock G (1979) Open reduction for congenital dislocation of the hip using the Ferguson procedure. J Bone Joint Surg [Am] 61:915–921
Salter RB, Rubos JP (1974) The first fifteen years' personal experience with innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip. Clin Orthop 98:72–103
Scapinelli R, Ortolani M Jr (1980) Open reduction (Ludloff approach) of congenital dislocation of the hip before the age of two years. Isr J Med Sci 16:276–280
Severin E (1941) Contribution to the knowledge of congenital dislocation of the hip joint. Late results of closed reduction and arthrographic studies of recent cases. Acta Chir Scand 84 (Suppl 63):1
Staheli LT (1982) Medial approach open reduction for congenitally dislocated hips. A critical analysis of forty cases. In: Tachdjian MO (ed) Congenital dislocation of the hip. Churchill Livingstone, New York, pp 295–303
Weinstein SL (1980) The medial approach in congenital dislocation of the hip. Isr J Med Sci 16:272–275
Weinstein SL, Ponseti IV (1979) Congenital dislocation of the hip. Open reduction through a medial approach. J Bone Joint Surg [Am] 61:119–124
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Mergen, E., Adyaman, S., Ömeroglu, H. et al. Medial approach open reduction for congenital dislocation of the hip using the Ferguson procedure. Arch Orthop Trauma Surg 110, 169–172 (1991). https://doi.org/10.1007/BF00395803
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DOI: https://doi.org/10.1007/BF00395803