A series of sixteen hip fusions performed in children for paralysis caused by poliomyelitis is presented and discussed. The necessary auxiliary procedures are mentioned. Broader indications are proposed to include younger children with more paralytic involvement. The operation can be considered at an earlier age than most recent authors recommend. Contra-indications are noted.
This is a preliminary report. A follow-up study is needed, particularly to determine the incidence of back pain and knee pain with ligamentous instability, the results of stabilization, the degree of the introgenic limb shortening, and the success of abdominal fascial transplants as hip elevators when combined with hip fusion.
Copyright 1964 by The Journal of Bone and Joint Surgery, Incorporated