McHale Procedure in Patients with Neglected Hip Dislocation

Abstract

Most severely involved, nonambulatory patients with neuromuscular problems develop hip dysfunction. Some patients appear with neglected hip dislocation that causes pain, limitation of hip motions, and hygiene care problems. When surgical hip reconstruction is not possible, hip arthrodesis, femoral head resection, and subtrochanteric valgus osteotomy might be effective salvage procedures. In 1990, McHale and coauthors published their technique of subtrochanteric osteotomy with femoral head resection that became a popular salvage procedure. The McHale procedure is widely used due to its effectiveness in achieving the goals of pain relief, increased range of motion, and improved seating ability. This technique has proved to be safe with few complications compared to other salvage procedures.