Acetabuloplasties at Open Reduction Prevent Acetabular Dysplasia in Intentionally Delayed Developmental Dysplasia of the Hip: A Case-control Study

Carsi, Michela; Clarke, Nicholas

doi:10.1007/s11999-015-4501-9

Cited by 17 publications

(10 citation statements)

References 41 publications

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“…Akagi et al [27] in their study showed that the main factor affecting the acetabular development is open reduction and maintenance of reduction. Performance of incomplete periacetabular osteotomy has been proposed to trigger acetabular remodeling [28].…”

Section: Discussionmentioning

confidence: 99%

“…[27] in their study showed that the main factor affecting the acetabular development is open reduction and maintenance of reduction. Performance of incomplete periacetabular osteotomy has been proposed to trigger acetabular remodeling [28]. Osteotomy itself is believed to stimulate periosteal ossification in its surroundings resulting in development of the rim of the acetabulum [5].…”

Section: Discussionmentioning

confidence: 99%

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Acetabular remodeling after graft extrusion, rotation or impaction in Dega and Pemberton acetabuloplasties for developmental dysplasia of the hip

Bakarman

Rafiq²

2021

Journal of Pediatric Orthopaedics B

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Traditionally graft displacement following Pemberton and Dega acetabuloplasties involves internal fixation for treatment of developmental dysplasia of hip (DDH). This study was performed to assess the acetabular remodeling by conservative management of graft displacement among patients with DDH. This was a retrospective study of 20 patients 17 (85%) women and 3 (15%) men; mean age 22.90 ± 6.96 months with DDH who underwent Pemberton and Dega acetabuloplasties at King Khalid University Hospital, Riyadh between January 2013 and January 2018. All patients after losing acetabular correction during immediate postoperative period were treated by conservative management. The management involved application of Spica cast for 6 weeks that was trimmed to broomstick cast for an extended period of time and finally replaced by nocturnal abduction brace until normal acetabular index (AI) was achieved. The patients were followed up for a mean period of 44.60 ± 12.36 months. Out of the total, 18 (90%) patients with DDH were successfully treated by conservative management. The mean preoperative AI of 43.70° ± 5.91° improved to 21.35o ± 6.32o at the final follow-up (P < 0.001) which was no different when compared to the mean of unaffected hips (19.70o ± 2.96o; P < 0.44). The mean preoperative CEA of all the patients was negative that improved during the conservative treatment to 29.20° ± 10.0° which was no different when compared with the mean of unaffected (31.70° ± 4.64o; P = 0.32) hips at the final follow-up. doption of less aggressive approach for management of displaced, rotated or impacted autograft following acetabuloplasties among children with DDH was not only a useful conservative approach for remodeling of hips but also obviated the need for additional surgical intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Acetabular remodeling after graft extrusion, rotation or impaction in Dega and Pemberton acetabuloplasties for developmental dysplasia of the hip

Bakarman

Rafiq²

2021

Journal of Pediatric Orthopaedics B

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“…Several possible complications might occur after DDH treatment. Clearly, hip stiffness in DDH is unavoidable in the course of surgical treatment that involves open hip reduction and lengthy periods of immobilization, and is considered one of the most common complication [ 12 , 13 ]. However, local muscular spasm of the operatively treated hip has never been reported and that posed a diagnostic dilemma in our case as clinical presentations of stiffness and spasm share several similarities.…”

Section: Discussionmentioning

confidence: 99%

Relapsed hip stiffness after recovery of range of motion in a hip treated for developmental dysplasia of the hip? Think again: A case report

Alanazi

Almalik

Alanazi

et al. 2020

International Journal of Surgery Case Reports

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Highlights How to evaluate complications following DDH treatment. Muscular spasm can mislead physicians following treatment of DDH. Hip stiffness vs muscular spasm in DDH patients. Examination under anesthesia could be the answer for relapsed hip stiffness. The value of examination under anesthesia in DDH complications.

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“…After reading the full text of the remaining 61 studies, three reviews and four meta-analysis studies were excluded, 13 studies were excluded because of missing or fuzzy data, 4 studies with duplicate data were excluded, 15 studies with an age of reduction ≥3 years old were excluded, and 8 studies involving only one treatment method were excluded. Finally, 14 articles [15,17,[22][23][24][25][26][27][28][29][30][31][32][33] were included. The literature retrieval process is illustrated in Fig.…”

Section: Study Selectionmentioning

confidence: 99%

Avascular necrosis under different treatment in children with developmental dysplasia of the hip: a network meta-analysis

Qiu

Chen²,

Sun³

et al. 2021

Journal of Pediatric Orthopaedics B

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The objective of this study was to evaluate the incidence of avascular necrosis (AVN) of the femoral head in children less than 3 years of age with developmental dysplasia of the hip (DDH) treated with closed reduction, open reduction alone and open reduction combined with osteotomy. We reviewed clinical trials from the PubMed, EMBASE and Cochrane Library databases (up to November 2020) that were related to closed reduction, open reduction alone and open reduction combined with osteotomy for the treatment of children under 3 years of age with DDH. The screening and quality evaluation of the literature were performed independently by two researchers. In case of disagreement, a third researcher resolved the discourse. Finally, the data were extracted, and the R software and GeMTC program package were used to conduct a network meta-analysis (NMA). The evaluation index was the incidence of AVN. Fourteen articles were included. The NMA showed that in terms of the incidence of AVN, cases treated with open reduction alone were higher than those with closed reduction, and the difference was statistically significant. Open reduction alone had the highest probability (94.4%) of having the highest incidence of AVN, followed by open reduction combined with osteotomy (5.5%) and closed reduction (0.1%). In the treatment of children with DDH who are younger than 3 years old, open reduction alone is most likely to be the treatment with the highest incidence of AVN, followed by open reduction combined with osteotomy. The closed reduction had the smallest probability of AVN.

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Acetabuloplasties at Open Reduction Prevent Acetabular Dysplasia in Intentionally Delayed Developmental Dysplasia of the Hip: A Case-control Study

Cited by 17 publications

References 41 publications

Acetabular remodeling after graft extrusion, rotation or impaction in Dega and Pemberton acetabuloplasties for developmental dysplasia of the hip

Acetabular remodeling after graft extrusion, rotation or impaction in Dega and Pemberton acetabuloplasties for developmental dysplasia of the hip

Relapsed hip stiffness after recovery of range of motion in a hip treated for developmental dysplasia of the hip? Think again: A case report

Avascular necrosis under different treatment in children with developmental dysplasia of the hip: a network meta-analysis

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