{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T05:12:47Z","timestamp":1768885967224,"version":"3.49.0"},"reference-count":36,"publisher":"SLACK, Inc.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[1992,1]]},"abstract":"<jats:p>ABSTRACT<\/jats:p>\n          <jats:p>The most important complication following the treatment of congenital dislocation of the hip is avascular necrosis. The potential sequelae that may arise after the onset of avascular necrosis are worse than if the hip remained dislocated. We evaluated 38 hips in which avascular necrosis developed after reduction. The average patient age at the time of reduction was 4.3 years, with a follow up of 6 to 15 years. Twelve hips had closed reduction and 26 had open reduction. Following reduction, 8 hips had Type I, 6 had Type II, 9 had Type III, and 15 had Type IV avascular necrosis. In this article, we evaluate our cases and review current literature on the subject. Close follow up and timely interventions can reduce potential sequelae to a minimum.<\/jats:p>","DOI":"10.3928\/0147-7447-19920101-14","type":"journal-article","created":{"date-parts":[[2021,4,21]],"date-time":"2021-04-21T06:47:34Z","timestamp":1618987654000},"page":"73-81","source":"Crossref","is-referenced-by-count":6,"title":["THE RELATIONSHIP BETWEEN THE TREATMENT OF CONGENITAL DISLOCATION OF THE HIP AND AVASCULAR NECROSIS"],"prefix":"10.3928","volume":"15","author":[{"given":"Mehmet S","family":"Binnet","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gungor S","family":"Chakirgil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sinan","family":"Adiyaman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yalim","family":"Ates","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_1","unstructured":"1. Ege R Turner Y. Merger) E. Early Diagnosis and Treatment of Congenital Malformations. Ankara: Emel Press. 1983:36-40 lin Turkish)."},{"key":"e_1_3_1_3_1","unstructured":"2. MacEven DG Zembo MM. Current trends in the treatment of CDH. Orthopedics. 1987; 10:1663-1669."},{"key":"e_1_3_1_4_1","doi-asserted-by":"crossref","unstructured":"3. Zionts LE. MacEwen GD. Treatment of CDH in children between the ages of 1 and 3 years. J Bone Joint Surg. 1986; 68A:829-846.","DOI":"10.2106\/00004623-198668060-00005"},{"key":"e_1_3_1_5_1","unstructured":"4. Binnet MS. Etiology of CDH. The CDH Symposium Abstract Book Chakirgii GS ed. Ankara: Laie Ofset: 1985:5-9. [in Turkish]"},{"key":"e_1_3_1_6_1","unstructured":"5. Bulcholz RW. Ogden JA. Patterns of ischemic necrosis of die proximal femur in non-operatively treated congenital hip disease. In: The Hip Proceedings of the Sixth Open Scientific Meeting of the Hip Society. St. Louis. Mo: CV Mosby; 1978:43-63."},{"key":"e_1_3_1_7_1","unstructured":"6. Chakirgii GS Binnet MS. Avascular Necrosis Following Treatment of CDH. Journal of the Faculty of Medicine University of Ankara. 1985: 38:217-230 |in Turkish]."},{"key":"e_1_3_1_8_1","doi-asserted-by":"crossref","unstructured":"7. Kalamchi A MacEwen GD. Avascular necrosis following treatment of CDH J Bone Joint Surg. 1980; 62A-.876-888.","DOI":"10.2106\/00004623-198062060-00002"},{"key":"e_1_3_1_9_1","doi-asserted-by":"crossref","unstructured":"8. Klisic P. Jankovic L. Combined procedure of open reduction and shortening of the femur in the treatment of CDH in older children. Clin Orthop 1976; 1 19:60-69.","DOI":"10.1097\/00003086-197609000-00010"},{"key":"e_1_3_1_10_1","doi-asserted-by":"crossref","unstructured":"9. Salter RB Dubas JP. The first 15 years personal experience with innominate osteotomy in congenital dislocation and subluxation of the hip. Clin Orthop 1974; 98:72-103.","DOI":"10.1097\/00003086-197401000-00009"},{"key":"e_1_3_1_11_1","unstructured":"10. Unsac B. Turner Y. Treatment of CDH with iliac and proximal femoral osteotomy in one operation. VtIUh National Orthopaedics and Traumatology Meeting Abstract Boot Ankara: Emel Press 1984:252-255 [in Turkish]."},{"key":"e_1_3_1_12_1","doi-asserted-by":"crossref","unstructured":"11. Buchanan J. Greer BR. Coller JM. Management strategy for prevention of avascular necrosis during treatmem of CDH. J Bone Joint Surg. 198 1 ; 63A: 140-146.","DOI":"10.2106\/00004623-198163010-00018"},{"key":"e_1_3_1_13_1","doi-asserted-by":"crossref","unstructured":"12. Cooperman D. Wallensten R Stulberg D. Postreduction avascular necrosis in CDH. J Bone Joint Surg. 1980; 62A.247-258.","DOI":"10.2106\/00004623-198062020-00012"},{"key":"e_1_3_1_14_1","doi-asserted-by":"crossref","unstructured":"13. Gage JR Winter RB. Avascular necrosis of the capital femoral epiphysis as a complication of closed reduction of congenital dislocation of the hip: a critical review of 20 year's experience at Gillette Children's Hospital. J Bone Joint Surg. 1972; 54A:373-388.","DOI":"10.2106\/00004623-197254020-00015"},{"key":"e_1_3_1_15_1","unstructured":"14. Henard DC Calandruccio RA. Experimental production of roentgenographic and histological changes in the capital femoral epiphysis following abduction extension and iniernal rotation of the hip. Surg Forum. 1971; 22:442."},{"key":"e_1_3_1_16_1","doi-asserted-by":"crossref","unstructured":"15. Nicholson JT Kopell HP. Mattet FA. Regional stress angiography of the hip. A preliminary report. J Bone Joint Surg. 1954; 36A:503-510.","DOI":"10.2106\/00004623-195436030-00004"},{"key":"e_1_3_1_17_1","unstructured":"16. Ogden JA Southwick VO. A possible cause of avascular necrosis complicating the treatment of CDH. J Bone Joint Surg. 1970; 55 A: 1 770."},{"key":"e_1_3_1_18_1","unstructured":"17. Salter RB Kostuik J Dallas S. Avascular necrosis of the femoral head as a complication of treatment for CDH in young children: a clinical and experimental investigation. Can J Surg. 1969;12:44-60."},{"key":"e_1_3_1_19_1","doi-asserted-by":"crossref","unstructured":"18. Schoenecker PL. Bitz DM. Whiteside LA. The acute effect of position of immobilization on capital femora! epiphysial blood flow: a quantitative study using the hydrogen washout technique. J Bone Joint Surg. 1978; 60A:899904.","DOI":"10.2106\/00004623-197860070-00004"},{"key":"e_1_3_1_20_1","unstructured":"19. Chakirgil GS. Radical reduction operation in the treatment of CDH. An analysis of 2789 cases. Orthopedics. 1987;5:71-76."},{"key":"e_1_3_1_21_1","unstructured":"20. Turner Y. Treatment of CDH by Open Reduction Through a Medial Approach. CDH Seminars Abstract Book. Ankara: Ankara Numune Hastanesi. Mis Press Ankara 1981 :33-40 fin Turkish]."},{"key":"e_1_3_1_22_1","unstructured":"21. Crenshaw AH (ed). Radical reduction (Chakirgil technique) procedure for treatment of CDH. Campbell's Orthopaedics. St. Louis Mo: CV Mosby; 1980; 11:18921895."},{"key":"e_1_3_1_23_1","doi-asserted-by":"crossref","unstructured":"22. Harris NM Lloyd-Roberts GC Gallien R. Acetabular development in CDH. With special reference to the indications for acetabuloplasty and pelvic or femoral realignment osieotomy. J Bone Joint Surg. 1 975; 57B:46-52.","DOI":"10.1302\/0301-620X.57B1.46"},{"key":"e_1_3_1_24_1","doi-asserted-by":"crossref","unstructured":"23. Gage JR Carry MJ. The effects of trochanteric epiphyseodesis on growth of proximal end of the femur following necrosis of the capital femoral epiphysis. J Bone Joint Surg. 1980; 62A;785-794.","DOI":"10.2106\/00004623-198062050-00013"},{"key":"e_1_3_1_25_1","doi-asserted-by":"crossref","unstructured":"24. Barret WP Stahell LT. Chew DE. The effectiveness of the Salter innominate osteotomy in the treatment of CDH. J Bone Joint Surg. 1986; 68A:79-87.","DOI":"10.2106\/00004623-198668010-00010"},{"key":"e_1_3_1_26_1","doi-asserted-by":"crossref","unstructured":"25. Severin E. CDH development of the joint after closed reduction. J Bone Joint Surg. 1950; 32A:507-51 8.","DOI":"10.2106\/00004623-195032030-00004"},{"key":"e_1_3_1_27_1","doi-asserted-by":"crossref","unstructured":"26. Ogden JA. Changing pattern of proximal femoral vascularity. J Bone Joint Surg. 1977; 56A:941 -950.","DOI":"10.2106\/00004623-197456050-00007"},{"key":"e_1_3_1_28_1","unstructured":"27. Sarlak O. Conservative Treatment of CDH. CDH Seminars Abstract Book. Ankara: Ankara Numune Hastanesi Mis Press Ankara 1981:24-32 [in Turkish!."},{"key":"e_1_3_1_29_1","doi-asserted-by":"crossref","unstructured":"28. Ramsey PL Lasser S MacEwen GD. CDH: use of the Pavlik Harness in the child during the first 6 months of life. J Bone Joint Surg. 1976; 58A: 1000-1004.","DOI":"10.2106\/00004623-197658070-00017"},{"key":"e_1_3_1_30_1","unstructured":"29. Mubarak S Garfin S Vance R et al. Pitfalls in the use of the Pavlik harness for treatment of congenital dysplasia subluxation and dislocation of the hip. J Bone Joint Surg. 1 98 1 ; 63A: 1 239- 1 247."},{"key":"e_1_3_1_31_1","doi-asserted-by":"crossref","unstructured":"30. Thomas CL Gage JR Odgen JA. Treatment concepts for proximal femoral ischemic necrosis complicating congenital hip disease. J Bone Joint Surg. 1 982; 64A:81 7-828.","DOI":"10.2106\/00004623-198264060-00003"},{"key":"e_1_3_1_32_1","doi-asserted-by":"crossref","unstructured":"31. Fergusson AB. Primary open reduction of CND using a medial adductor approach. J Bone Joint Surg. 1973; 55A:67l-689.","DOI":"10.2106\/00004623-197355040-00001"},{"key":"e_1_3_1_33_1","doi-asserted-by":"crossref","unstructured":"32. Kalamchi A Schmit TL. MacEwen GD. CDH: Open reduction by the medial approach. Clin Orthop 1982; 169:132-134.","DOI":"10.1097\/00003086-198209000-00016"},{"key":"e_1_3_1_34_1","doi-asserted-by":"crossref","unstructured":"33. Lindstrom JR Ponseii IV Wenger DR. Acetabular development after reduction in CDH. J Bone Joint Surg. 1979; 61A:1 12-118.","DOI":"10.2106\/00004623-197961010-00020"},{"key":"e_1_3_1_35_1","doi-asserted-by":"crossref","unstructured":"34. Bos CFA. Sloof TJJH. Treatment of failed open reduction for congenital dislocation of the hip. A 10-year follow-up of 14 cases. Acta Orthop Scand. 1984; 55:531535.","DOI":"10.3109\/17453678408992953"},{"key":"e_1_3_1_36_1","unstructured":"35. Dungh P Slavik M. Die Chirurgische Behandlung der Postdysplastischen Huftkopfnekrose. Z Orthop 1986; 124:561-567."},{"key":"e_1_3_1_37_1","unstructured":"Section Editor: Robert Chuinard MD"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T02:11:29Z","timestamp":1683079889000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/0147-7447-19920101-14"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,1]]},"references-count":36,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1992,1]]}},"alternative-id":["10.3928\/0147-7447-19920101-14"],"URL":"https:\/\/doi.org\/10.3928\/0147-7447-19920101-14","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[1992,1]]}}}