Open reduction of congenital dislocation of the hip in infancy using ludloff's approach

Abstract

Operation is indicated in congenital dislocation of the hip when routine conservative management has not been successful and obstacles to reduction have been demonstrated by arthrography. The nature of these obstacles is analysed and the results of open reduction in 259 hips are presented. Secondary operation was required for 104 hips but finally 219 hips had good results (84.5%). Early recognition of failed conservative management is stressed because poor results were obtained when repeated attempts at closed reduction had been carried out prior to operation.