{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T03:28:25Z","timestamp":1783481305938,"version":"3.55.0"},"reference-count":14,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"8","license":[{"start":{"date-parts":[[2006,8,1]],"date-time":"2006-08-01T00:00:00Z","timestamp":1154390400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2006,8]]},"abstract":"<jats:p> Difficulties posed in managing developmental dysplasia of the hip diagnosed late include a high-placed femoral head, contracted soft tissues and a dysplastic acetabulum. A combination of open reduction with femoral shortening of untreated congenital dislocations is a well-established practice. Femoral shortening prevents excessive pressure on the located femoral head which can cause avascular necrosis. Instability due to a coexisting dysplastic shallow acetabulum is common, and so a pelvic osteotomy is performed to achieve a stable and concentric hip reduction. We retrospectively reviewed 15 patients (18 hips) presenting with developmental dysplasia of the hip aged four years and above who were treated by a one-stage combined procedure performed by the senior author. The mean age at operation was five years and nine months (4 years to 11 years). The mean follow-up was six years ten months (2 years and 8 months to 8 years and 8 months). All patients were followed up clinically and radiologically in accordance with McKay\u2019s criteria and the modified Severin classification. According to the McKay criteria, 12 hips were rated excellent and six were good. All but one had a full range of movement. Eight had a limb-length discrepancy of about 1 cm. All were Trendelenburg negative. The modified Severin classification demonstrated four hips of grade IA, six of grade IB, and eight of grade II. One patient had avascular necrosis and one an early subluxation requiring revision. <\/jats:p><jats:p> One-stage correction of congenital dislocation of the hip in an older child is a safe and effective treatment with good results in the short to medium term. <\/jats:p>","DOI":"10.1302\/0301-620x.88b8.17592","type":"journal-article","created":{"date-parts":[[2006,7,28]],"date-time":"2006-07-28T16:51:15Z","timestamp":1154105475000},"page":"1076-1081","source":"Crossref","is-referenced-by-count":35,"title":["Congenital dislocation of the hip"],"prefix":"10.1302","volume":"88-B","author":[{"given":"V. R. P.","family":"Vallamshetla","sequence":"first","affiliation":[{"name":"University Hospitals of Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Mughal","sequence":"additional","affiliation":[{"name":"Royal Orthopaedic Hospital, Northfield, Birmingham B31 2AP, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. N.","family":"O\u2019Hara","sequence":"additional","affiliation":[{"name":"Birmingham Children\u2019s Hospital & Royal Orthopaedic Hospital, Steel House Lane, Birmingham B4 6NH, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198809000-00007"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.71B5.2584242"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199505000-00014"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Gabuzda GM, Renshaw TS. Reduction of congenital dislocation of the hip. J Bone Joint Surg [Am] 1992;74-A:624\u201331.","DOI":"10.2106\/00004623-199274040-00019"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.61B1.422637"},{"key":"R6","unstructured":"Klisic P, Jankovic LJ, Basara V. Open reduction with pelvic osteotomy and femoral shortening. Acta Orthop Belg 1990;56(1 Pt B):269\u201374."},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Dimitriou JK, Cavadias AX. One-stage surgical procedure for congenital dislocation of the hip in older children: long-term results. Clin Orthop 1989;246:30\u20138.","DOI":"10.1097\/00003086-198909000-00006"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Tonnis D. Surgical treatment of congenital dislocation of the hip. Clin Orthop 1990; 258:33\u201340.","DOI":"10.1097\/00003086-199009000-00006"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Barrett WP, Staheli LT, Chew DE. The effectiveness of the Salter innominate osteotomy in the treatment of congenital dislocation of the hip. J Bone Joint Surg [Am] 1986;68-A:79\u201387.","DOI":"10.2106\/00004623-198668010-00010"},{"key":"R10","unstructured":"Severin E. 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 1941;84(Suppl 63):1\u2013142."},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198062060-00002"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Galpin RD, Roach JW, Wenger DR, Herring JA, Birch JG. One-stage treatment of congenital dislocation of the hip in older children, including femoral shortening. J Bone Joint Surg [Am] 1989;71-A:734\u201341.","DOI":"10.2106\/00004623-198971050-00015"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.43B3.518"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Pemberton PA. Periscapular osteotomy of the ilium for treatment of congenital subluxation and dislocation of the hip. J Bone Joint Surg [Am] 1965;47-A:65\u201386.","DOI":"10.2106\/00004623-196547010-00004"}],"container-title":["The Journal of Bone and Joint Surgery. 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