Rx of CDH: Ages 3 years to 8 years



- See: Chiari osteotomy

- Discussion:
    - most of these pts will require open reduction;
    - usually involves open reduction combined with femoral shortening;
    - femoral shortening:
          - aids in reduction;
          - decreases potential complications;
          - technically difficult;
    - Traction:
          - should not be used, because of increased AVN & redislocation;
- Acetabular Osteotomies;
    - indicated in older children with residual dysplasia and subluxation in whom remodeling of the acetabulum can no longer be anticipated



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Thursday, August 9, 2012 2:15 pm