The natural history of XXXX in ambulatory myelomeningoceles.

@entity1 @entity9960 @entity572 @entity158 @entity85
We studied 22 @entity9960 @entity1 with strong quadriceps and good ambulatory capability who had a dislocated hip. These @entity1 did not have @entity158 , had good to excellent hip motion and could sit with no difficulty. All but one was a good to excellent community ambulator with crutches and orthoses. Twenty-five percent had limb length inequality requiring shoe lifts but this combination did not impair functional capability. None owned wheelchairs. Seven had associated @entity85 which required treatment. We concluded that the @entity572 in these @entity1 was not significant. We evaluated a similar series of 11 @entity1 who had open reduction of a dislocated hip an average of 18 months ago. Two @entity1 were slightly improved and five @entity1 were significantly worse after the open reductions. Serious complications related to the surgery ensued in half of the cases. The cost of the surgery and treatment of the complications in these 11 @entity1 was  400,000. We concluded that surgical treatment of @entity572 in ambulatory @entity9960 @entity1 offered no clear cut benefit.
