Dislocation of the Hip
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X-ray before treatment

Patient suffering from dislocation of the hip

 

This 18 year old lady had a dislocation of the hip since childhood and was walking with a lurch and had a  shortening of more than 6 cm.

 

X-ray showing Ilizarov Hip Reconstruction procedure

Ilizarov Hip Reconstruction procedure
Classical Ilizarov Hip Reconstruction procedure was done which consists of a high subtrochaneric valgus osteotomy giving 80 to 90 degrees of valgus at the subtrochanteric area. This gives pelvic support and improves hip mechanics. Distally a corticotomy was done in the femur which permits lengthening as well as correction of the proximal valgus to balance the mechanical axis.

 

After treatment

X-ray after treatment

Result shows that the lurch in the hip has decreased by almost 70%and the leg lengths are almost equal. The patient has subsequently gotten married and is having 75% pain relief.Under these circumstances, a total hip replacement was neither feasible nor affordable. This procedure has given a fresh lease of life for 10-15 years.

 

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