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Open reduction of congenital dislocation of the hip by Ludloff's method
466
ABSTRACTS
fractures Seventy-four supracondylar were studied after treatment. The best anatomic results occurred in methods that included forearm pronation : closed reduction with collar and cuff immobilization or overhead pin traction. The author feels that pronation tightens the lateral elbow ligaments
to eliminate
varus
deformity. -A. H. Alter
The Lumbocostovertebral Syndrome: A Single Somatic Defect. R. J. Touloukian. Surgery 71:174-181 (February), 1972. Stimulated by the finding of multiple costal and vertebral anomalies in a newly born infant with bilateral lumbar hernias, the author reviews and presents the embryology and clinical features of the 27 case reports of congenital lumbar hernias in the available literature. This review supports the existence of a single somatic defect producing a lumbocostovertebral syndrome in which congenital lumbar hernia is a part. -W. K. Sieber Spondylolisthesis in Children: Observation and Surgical Treatment. P. R. Harrington and H. S. Tulles. Clin. Orthop. 79:75-84 (September), 1971. Open reduction with Harrington rod fixation and spine fusion was performed in nine children, with Grade III to Grade IV spondylolisthesis, by the technique described. One cauda equina syndrome occurred and one wound infection. A solid fusion trolled” the back pain.-A. H. Alter
“con-
Open Reduction of Congenital Dislocation of the Hip by Ludloff’s Method. H. Mau, W. M. Dorr, L. Henkle, and J. Lutsche. J. Bone Joint Surg. 53A:1281-1288, 1971. Forty-six congenital hip dislocations were operated upon in 33 patients who were failures of conventional conservative care. The surgical approach is between the adductor longus and pectineus muscles to the hip capsule, which is incised for the open reduction. The main obstacle to reduction is the anterior hip capsule. Two patients deaseptic necrosis. veloped Trochanteric osteotomies were subsequently needed in 15 hips and ten needed subsequent innominate osteotomies. The procedure was indicated
in children under 2 yr of age. The authors feel it is a simple, reliable surgical approach to the hip.-A. H. AZfer Congenital Dislocation of the Hip: A 12Year Survey. A. R. McKenzie. Aust. New Zeal. J. Surg. 41:219-226 (February), 1972. A 12-yr review is presented of 97 hip joints in 61 patients treated in one hospital group in Otago, New Zealand. Of all the cases 60% (65% females) were bilateral dislocation or subluxation. Eighteen patients (27%) had a positive family history. The general plan of treatment was patterned on that of Somerville and Scott of Oxford. Assessments (good, satisfactory, and unsatisfactory) were made on strict radiological and clinical criteria, but no close relationship between these two methods was discovered; 60% were good or satisfactory. In radiological comparison it was found that 23 hips were subluxated when diagnosed and 17 of these resulted in a good or satisfactory hip. Of the 54 hips dislocated, 31 resulted in a good or satisfactory hip. Open reduction was necessary on 30 hip joints and derotational osteotomy was performed on 63 hips. Twenty-four hips developed avascular necrosis. The best results will be achieved by earlier diagnosis (preferably within the first month of life) and gentleness in handling, and yet even so a disturbing number of hips will be found to be unsatisfactory if observations are carried out for a long enough period. -I. R. Solomon Innominate Osteotomy in Legg-Calve-Perthes’ Disease. S. T. Canale, A. F. D’Anca, J. M. Cotter, and H. E. Snedden. J. Bone Joint Surg. 54A:25-40 (January), 1972. Fifteen patients with coxa plana, over i’ yr of age, with the hip either in the fragmentation or healing stages associated with pronounced fragmentation on x-rays, had an innominate (Salter) osteotomy performed. They were compared with a similar group of 12 patients previously treated nonsurgically. Surgery produced better results in this comparison, which were no better if the hip was late in the healing stage. Followup was 3 yr. The purpose is to cover the enlarged femoral epiphysis with acetabular cartilage. -A. H. Alter
ABSTRACTS
fractures Seventy-four supracondylar were studied after treatment. The best anatomic results occurred in methods that included forearm pronation : closed reduction with collar and cuff immobilization or overhead pin traction. The author feels that pronation tightens the lateral elbow ligaments
to eliminate
varus
deformity. -A. H. Alter
The Lumbocostovertebral Syndrome: A Single Somatic Defect. R. J. Touloukian. Surgery 71:174-181 (February), 1972. Stimulated by the finding of multiple costal and vertebral anomalies in a newly born infant with bilateral lumbar hernias, the author reviews and presents the embryology and clinical features of the 27 case reports of congenital lumbar hernias in the available literature. This review supports the existence of a single somatic defect producing a lumbocostovertebral syndrome in which congenital lumbar hernia is a part. -W. K. Sieber Spondylolisthesis in Children: Observation and Surgical Treatment. P. R. Harrington and H. S. Tulles. Clin. Orthop. 79:75-84 (September), 1971. Open reduction with Harrington rod fixation and spine fusion was performed in nine children, with Grade III to Grade IV spondylolisthesis, by the technique described. One cauda equina syndrome occurred and one wound infection. A solid fusion trolled” the back pain.-A. H. Alter
“con-
Open Reduction of Congenital Dislocation of the Hip by Ludloff’s Method. H. Mau, W. M. Dorr, L. Henkle, and J. Lutsche. J. Bone Joint Surg. 53A:1281-1288, 1971. Forty-six congenital hip dislocations were operated upon in 33 patients who were failures of conventional conservative care. The surgical approach is between the adductor longus and pectineus muscles to the hip capsule, which is incised for the open reduction. The main obstacle to reduction is the anterior hip capsule. Two patients deaseptic necrosis. veloped Trochanteric osteotomies were subsequently needed in 15 hips and ten needed subsequent innominate osteotomies. The procedure was indicated
in children under 2 yr of age. The authors feel it is a simple, reliable surgical approach to the hip.-A. H. AZfer Congenital Dislocation of the Hip: A 12Year Survey. A. R. McKenzie. Aust. New Zeal. J. Surg. 41:219-226 (February), 1972. A 12-yr review is presented of 97 hip joints in 61 patients treated in one hospital group in Otago, New Zealand. Of all the cases 60% (65% females) were bilateral dislocation or subluxation. Eighteen patients (27%) had a positive family history. The general plan of treatment was patterned on that of Somerville and Scott of Oxford. Assessments (good, satisfactory, and unsatisfactory) were made on strict radiological and clinical criteria, but no close relationship between these two methods was discovered; 60% were good or satisfactory. In radiological comparison it was found that 23 hips were subluxated when diagnosed and 17 of these resulted in a good or satisfactory hip. Of the 54 hips dislocated, 31 resulted in a good or satisfactory hip. Open reduction was necessary on 30 hip joints and derotational osteotomy was performed on 63 hips. Twenty-four hips developed avascular necrosis. The best results will be achieved by earlier diagnosis (preferably within the first month of life) and gentleness in handling, and yet even so a disturbing number of hips will be found to be unsatisfactory if observations are carried out for a long enough period. -I. R. Solomon Innominate Osteotomy in Legg-Calve-Perthes’ Disease. S. T. Canale, A. F. D’Anca, J. M. Cotter, and H. E. Snedden. J. Bone Joint Surg. 54A:25-40 (January), 1972. Fifteen patients with coxa plana, over i’ yr of age, with the hip either in the fragmentation or healing stages associated with pronounced fragmentation on x-rays, had an innominate (Salter) osteotomy performed. They were compared with a similar group of 12 patients previously treated nonsurgically. Surgery produced better results in this comparison, which were no better if the hip was late in the healing stage. Followup was 3 yr. The purpose is to cover the enlarged femoral epiphysis with acetabular cartilage. -A. H. Alter