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Abstract
One hundred and eleven traumatic anterior dislocations of the hip in children were
collected from the literature and statistically evaluated together with 4 cases treated
at our institute. The incidence of open dislocations, associated lesions (avulsion
of the greater trochanter, damage to the femoral vessels, and fracture of the shaft
of the ipsilateral femur), and irreducible recent dislocations was noteworthy, demanding
special methods of primary management. In 41 patients, with follow-up averaging 5
years, the incidence of complications, especially avascular necrosis, was also high.
Anterior dislocation of the hip in this age group is to be considered a serious injury.
Concerning the final state of the hip-joint, factors giving a poor prognosis appear
to be severe injury, open dislocation, associated fractures near the joint, delayed
reduction, and, possibly, open procedures.
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© 1982 Published by Elsevier Inc.
