DDH in the Walking Age: Review of Patients with Long-Term Follow-Up

Lucchesi, Giovanni; Sacco, Riccardo; Zhou, Weizheng; Li, Yiqiang; Li, Lianyong; Canavese, Federico

doi:10.1007/s43465-021-00531-1

Cited by 8 publications

(6 citation statements)

References 60 publications

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“…Femoral osteotomy was found to be correlated with subsequent THA 11 , 12 ( Table 2 ). Table 2 also presents two studies that investigated THA outcomes for DDH patients under the ages of 20 and 30 years, respectively 13 , 14 ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…Lucchesi et al 11 concluded, in a metanalysis of 988 hips diagnosed with DDH after the walking age, that signs of OA manifest on average three decades after the initial procedure. After surgery, there is a further deterioration during 30–40 years, and then the hip continues to deteriorate for 40–50 years after the initial treatment.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies revealed an increased risk of revision due to dislocation within the first 6 months after THA, 8,10 while the other two studies found no statistically significant differences in inpatient complications, discharge disposition, readmissions, or reoperations compared to THA for OA. 7,9 Femoral osteotomy was found to be correlated with subsequent THA 11,12 (Table 2). Table 2 also presents two studies that investigated THA outcomes for DDH patients under the ages of 20 and 30 years, respectively 13,14 (Table 2).…”

Section: Ddhmentioning

confidence: 99%

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Total hip arthroplasty in patients with common pediatric hip orthopedic pathology

De Salvo,

Sacco,

Mainard

et al. 2024

Journal of Children's Orthopaedics

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Purpose: Literature regarding total hip arthroplasty for pediatric hip diseases is scarce. This review aims to portray the various orthopedic conditions of childhood that can lead to significant impairment of the hip joint and, ultimately, to total hip arthroplasty in adolescence and adulthood. Methods: In total, 61 out of 3666 articles were selected according to (1) the diagnosis of one of the 12 pediatric hip pathologies (Legg–Perthes–Calvé disease, developmental dysplasia of the hip, slipped capital femoral epiphysis, neuromuscular hip dysplasia, post-traumatic avascular necrosis of the proximal femur, juvenile rheumatoid arthritis, achondroplasia, spondyloepiphyseal dysplasia, mucopolysaccharidosis, mucolipidosis, hip infections, and tumors) that required total hip arthroplasty; (2) minimum follow-up of 16 months; (3) assessed outcome with a clinical or radiologic score; (4) Methodological Items for Non-Randomized Studies quality score of 9 or higher. The following information for each pathology was retrieved: mean age at total hip arthroplasty, reason for total hip arthroplasty, type of total hip arthroplasty, surgical technique, mean follow-up, and outcomes. Results: Overall, the mean age at total hip arthroplasty for pediatric hip disease is in the sixth and seventh decade, except for tumors and skeletal dysplasias. The reason for performing total hip arthroplasty is often osteoarthrosis and abnormal anatomy. Prosthesis types change based on patient’s conditions and technological advances; custom-made implants are used for tumors, juvenile rheumatoid arthritis, and skeletal dysplasias; for other diseases, the most frequent are modular cementless implants. Outcomes are generally good, and all studies portray functional and pain improvements. Conclusion: Total hip arthroplasty is performed more frequently than in the past in patients with pediatric hip pathologies; it enhances patients’ quality of life by reducing pain and improving function. However, revision rate in these patients is not negligible.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Ddhmentioning

confidence: 99%

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Total hip arthroplasty in patients with common pediatric hip orthopedic pathology

De Salvo,

Sacco,

Mainard

et al. 2024

Journal of Children's Orthopaedics

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“… 4 It is crucial to carry out follow-up assessments with these susceptible children, as this process can yield valuable information. 5 By obtaining data on children who did eventually develop DDH, we can analyze demographic variables specific to this group. Once we identify the peculiar characteristics of children who did develop DDH, this information can serve as a guide for policymakers and the healthcare system.…”

mentioning

confidence: 99%

Comment on: Universal in-house neonatal hips ultrasonography screening in the United Arab Emirates

Al baradie,

Kashoo,

Aljandal

et al. 2024

SMJ

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“…This was highlighted by Prof. Joseph in his study 18 years ago [3], by several other studies from India over the past two decades [10,11], and more recently by the IHDR-India group where the median age at presentation was over 2 years of age [9]. Lucchesi et al [26] performed a systematic review of literature to assess the long-term outcomes of late-detected DDH treated after the walking age. It is sobering to note that after 40 years of follow-up, more than one-third of patients treated after the walking age required a total hip replacement.…”

mentioning

confidence: 99%

Hip and Happening: Current Concepts in the Diagnosis and Management of Developmental Dysplasia of the Hip in 2022

Aroojis

Mehta

2021

JOIO

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DDH in the Walking Age: Review of Patients with Long-Term Follow-Up

Cited by 8 publications

References 60 publications

Total hip arthroplasty in patients with common pediatric hip orthopedic pathology

Total hip arthroplasty in patients with common pediatric hip orthopedic pathology

Comment on: Universal in-house neonatal hips ultrasonography screening in the United Arab Emirates

Hip and Happening: Current Concepts in the Diagnosis and Management of Developmental Dysplasia of the Hip in 2022

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