I read with great interest “Long-Term Outcome after Open Reduction through an Anteromedial Approach for Congenital Dislocation of the Hip” (79-A: 810–817, June 1997), by Morcuende et al. Although the authors considered the anteromedial approach to be useful for the treatment of congenital dislocation of the hip, they expressed concern about the unexpectedly high rate of growth disturbances of the femoral head; the overall rate of avascular necrosis in their study was 43 per cent (forty of ninety-three hips), and the rate of type-II avascular necrosis, according to the classification …

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